Individual provider · Type 1 NPI
Traci Blackburn, FNP
Nurse Practitioner · Huntsville, TX
Practice location
643 I45 S., Building A
Huntsville, TX 77340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 888082 (TX) |
| Nurse Practitioner Primary | 363L00000X | 1215344 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1295586196
Traci Blackburn, FNP's National Provider Identifier is 1295586196, issued on Mar 28, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Huntsville, TX. The record was last updated on Oct 31, 2025.