Individual provider · Type 1 NPI

Alice T. Blackmon, PNP-C

Pediatric Nurse Practitioner · San Antonio, TX

NPI number 1265413264 Active

Practice location

7323 Marbach Rd Ste 104
San Antonio, TX 78227-1905

Fax (210) 673-1850

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP108315 (TX)

Pediatric Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1265413264

Alice T. Blackmon, PNP-C's National Provider Identifier is 1265413264, issued on Nov 8, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Antonio, TX. The record was last updated on Mar 9, 2026.