Individual
MS. EARNIE M BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
W.H.N.P, R.N.C.
Contact information
Practice address
104 BABCOCK RD, SAN ANTONIO, TX 78201-3806
(210) 736-0011
(210) 736-0011
Mailing address
10818 HILLSDALE LOOP, SAN ANTONIO, TX 78249-3887
(210) 558-9993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
245735
TX
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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