Individual
TRACI BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
643 I45 S., BUILDING A, HUNTSVILLE, TX 77340
(281) 975-1000
Mailing address
643 I45 S., BUILDING A, HUNTSVILLE, TX 77340
(281) 975-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
888082
TX
363L00000X
Nurse Practitioner
Primary
1215344
TX
Other
Enumeration date
03/28/2024
Last updated
10/31/2025
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