Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATRINA MARIE BLACKARD, NP
ActiveKATRINA MARIE BLACKARD, NP is a Primary Care Nurse Practitioner healthcare provider located in SOUTHAVEN, Mississippi. NPI 1467051029 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1467051029
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2020 (5.7730049191556 yrs)
- Last Updated
- Jul 13, 2022
- Licenses
-
28617 (TN)904313 (MS)
Practice Information
- Address
-
401 SOUTHCREST CIR STE 212SOUTHAVEN, MS, 386716721Browse MS providers · Browse ZIP 38671
- Phone
- 6623490488
- Fax
- 6623495974
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. CHARITY BARRINGER MILAM | C.N.P | 1528429214 |
| MRS. DIOSAN MANGUBAT POWELL | FNP | 1275086902 |
| IRENE WILSON | FNP-C | 1477021988 |
| LAUREN ELIZABETH BAKER | FNP | 1225699325 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.