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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWNA C BLACKMON, PA

Active

SHAWNA C BLACKMON, PA is a Physician Assistant healthcare provider located in NACOGDOCHES, Texas. NPI 1487641536 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NACOGDOCHES, TX

Registration Details

NPI Number
1487641536
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2005 (20.717238325683 yrs)
Last Updated
Feb 24, 2022
Licenses
PA04131 (TX)
PA04131 (TX)

Practice Information

Address
3816 N UNIVERSITY DR
NACOGDOCHES, TX, 759652011
Browse TX providers · Browse ZIP 75965
Phone
9039397500
Fax
9039397728
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in NACOGDOCHES, TX

Name Credential NPI
AMANDA MCCARTY PA-C 1295779247
MRS. BONNIE BASS RYAN PA-C 1922035179
JEFFREY SCOTT BERTHOT P.A. 1932294550
MR. KEVIN LEE MURPHY PA-C 1548483472
ROBERT NAQUIN PA-C 1326268525
ERIN NICOLE SOMMERLATTE PA 1790986560
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.