Individual provider · Type 1 NPI
Miranda Rashay Blackmon, PMHNP STUDENT
Student in an Organized Health Care Education/Training Program · Bossier City, LA
NPI number
1538021415
Active
Practice location
2704 Shed Rd Apt 163I
Bossier City, LA 71111-3368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | RN140491 (LA) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Bossier City
- Cortlyn Macall Boyd, DOStudent in an Organized Health Care Education/Training Program Bossier City, LA NPI 1003658287
- Braeden McCutchan, MDStudent in an Organized Health Care Education/Training Program Bossier City, LA NPI 1063215960
- Daniel Alan DorseyStudent in an Organized Health Care Education/Training Program Bossier City, LA NPI 1164250247
- Ladonia GageStudent in an Organized Health Care Education/Training Program Bossier City, LA NPI 1275383119
About NPI 1538021415
Miranda Rashay Blackmon, PMHNP STUDENT's National Provider Identifier is 1538021415, issued on Nov 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bossier City, LA. The record was last updated on Nov 29, 2025.