Individual
DR. CAANAN BLAKEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
701 FM 685 STE 530, PFLUGERVILLE, TX 78660-7105
(737) 230-0237
Mailing address
20501 ROLLING CREEK RD, PFLUGERVILLE, TX 78660-6023
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1106987
TX
Other
Enumeration date
01/18/2023
Last updated
03/14/2023
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