Individual
BRITTANY MARIAN BLACKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-AC
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(713) 306-5579
Mailing address
3304 SEQUOIA LAKE TRL, PEARLAND, TX 77581-5680
(713) 306-5579
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1135410
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2023
Last updated
09/07/2023
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