Individual
SCOTT BLACKMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2600 E 12TH ST, KANSAS CITY, MO 64127-1321
(816) 965-1100
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024038213
MO
Other
Enumeration date
07/12/2024
Last updated
10/11/2024
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