Individual
JOHN TRAVIS BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3150 N TENAYA WAY STE 525, LAS VEGAS, NV 89128-0465
(725) 204-6520
(702) 441-7023
Mailing address
PO BOX 100744, ATLANTA, GA 30384-0744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
840749
NV
Other
Enumeration date
06/08/2021
Last updated
06/09/2025
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