Individual
KACIE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16052 DOCTORS BLVD, HAMMOND, LA 70403-1478
(985) 945-9606
(985) 345-9616
Mailing address
16052 DOCTORS BLVD, HAMMOND, LA 70403-1478
(985) 345-9606
(985) 345-9616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9262064
FL
363LF0000X
Family Nurse Practitioner
Primary
220442
LA
Other
Enumeration date
07/06/2016
Last updated
05/20/2024
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