Individual provider · Type 1 NPI

Amanda R. Blalock, NP

Psychiatric/Mental Health Nurse Practitioner · Tyler, TX

NPI number 1740681279 Active

Practice location

1800 Shiloh Rd Ste 104
Tyler, TX 75703-2456

Fax (207) 536-2445

Other practice locations

  • 1174 E Lennon Dr Ste C, Emory, TX 75440-3255 · (903) 473-2652
  • 2323 W Front St, Tyler, TX 75702-7747 · (903) 597-1351

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP144205 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1740681279

Amanda R. Blalock, NP's National Provider Identifier is 1740681279, issued on Sep 16, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tyler, TX. The record was last updated on Mar 20, 2025.