Individual provider · Type 1 NPI
Nancy Ann Blacketer, FNP
Nurse Practitioner · Patton, CA
Practice location
3102 East Highland Ave
Patton, CA 92369
Fax (909) 425-7520
Mailing address
1600 9th Street, Room 205 Mailstop 2-3
Sacramento, CA 95814-6414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN11513 (CA) |
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 1518152925
Nancy Ann Blacketer, FNP's National Provider Identifier is 1518152925, issued on Sep 10, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Patton, CA. The record was last updated on Sep 10, 2007.