Individual
ANGELA NICOLE BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
135 OYSTER CREEK DR STE B, LAKE JACKSON, TX 77566-4119
(979) 215-2309
Mailing address
135 OYSTER CREEK DR STE B, LAKE JACKSON, TX 77566-4119
(979) 215-2309
(844) 272-3168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45-4828957
—
TX
Enumeration date
09/28/2013
Last updated
01/03/2020
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