Individual provider · Type 1 NPI
Kaitlin Janann Blalock, NP
Nurse Practitioner · Dallas, TX
Practice location
7 Medical Pkwy
Dallas, TX 75234-7829
Mailing address
14902 Preston Rd Ste 404-813
Dallas, TX 75254-9105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 1006425 (TX) |
| Family Nurse Practitioner | 363LF0000X | 1006425 (TX) |
| Nurse Practitioner Primary | 363L00000X | 1006425 (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 1841870649
Kaitlin Janann Blalock, NP's National Provider Identifier is 1841870649, issued on Apr 14, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Oct 18, 2026.