Individual
MRS. KATELYN BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1210B MEDICAL ARTS BLVD, ANDERSON, IN 46011-3435
(765) 563-2843
Mailing address
8038 N 600 W STE 100, MCCORDSVILLE, IN 46055-8605
(317) 932-3426
(855) 631-0165
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
259154
AZ
Other
Enumeration date
08/03/2021
Last updated
04/29/2024
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