Dr BETTIE T BLACKMON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2000.
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC.
11990 JACKSON ST
CLINTON
LA
707223210
Tel: 2256835292
| Npi | 1356344949 |
| Pac Id | 1254520307 |
| Professional Enrollment Id | I20110105001032 |
| Last Name | BLACKMON |
| First Name | BETTIE |
| Middle Name | T |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA INC. |
| Group Practice Pac Id | 1052220985 |
| Number Of Group Practice Members | 27 |
| Line 1 Street Address | 11990 JACKSON ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CLINTON |
| State | LA |
| Zip Code | 707223210 |
| Phone Number | 2256835292 |
| Hospital Affiliation Ccn 1 | 190128 |
| Hospital Affiliation Lbn 1 | WOMAN'S HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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