Individual
BRIANA DONISE BLACKSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NNP-BC
Contact information
Practice address
5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229-3561
(210) 541-8281
(210) 541-9123
Mailing address
5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229-3561
(210) 541-8281
(210) 541-9123
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP123946
TX
Other
Enumeration date
03/07/2017
Last updated
12/17/2020
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