Individual provider · Type 1 NPI
Katherine Lindsey Blalock, ACNP
Gerontology Nurse Practitioner · Fort Worth, TX
NPI number
1639771330
Active
Practice location
6100 Harris Pkwy Ste 285
Fort Worth, TX 76132-4127
Fax (817) 394-3994
Mailing address
1201 Fairmount Ave
Fort Worth, TX 76104-4215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1003334 (TX) |
| Nurse Practitioner | 363L00000X | 1003334 (TX) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1003334 (TX) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
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- Oddeth Root, MSN, RN-BC, NPGerontology Nurse Practitioner Fort Worth, TX NPI 1215945522
About NPI 1639771330
Katherine Lindsey Blalock, ACNP's National Provider Identifier is 1639771330, issued on Nov 9, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 19, 2026.