IndividualActive
Jamie Blackmon, FNP-C
NPI 1356913586 · Nurse Practitioner · Longview, TX
Provider details
- NPI number
- 1356913586
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1047240 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2901 4th St
Longview, TX 75605-5128
Phone: (903) 930-6688
Approximate (ZIP-level) locationGet directions
Mailing address
8 Ouida Cir
Longview, TX 75603-9611
Registry dates
- Enumerated
- 2021-07-16
- Last updated
- 2022-12-27
- Certified
- 2022-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.