Individual
TALISA BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 10TH AVE N STE 117, NASHVILLE, TN 37203-3458
(817) 513-8967
Mailing address
315 10TH AVE N STE 117, NASHVILLE, TN 37203-3458
(817) 513-8967
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
0000071360
TN
332BC3200X
Customized Equipment (DME)
Primary
071360
TN
Other
Enumeration date
08/25/2015
Last updated
04/30/2026
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