Individual
AMANDA R BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 SHILOH RD STE 104, TYLER, TX 75703-2456
(903) 969-5125
(207) 536-2445
Mailing address
1800 SHILOH RD STE 104, TYLER, TX 75703-2456
(903) 969-5125
(207) 536-2445
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407984001
—
TX
Enumeration date
09/16/2014
Last updated
03/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us