Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA RASHAY BLACKMON, PMHNP STUDENT
ActiveMIRANDA RASHAY BLACKMON, PMHNP STUDENT is a Student (Health Education/Training) healthcare provider located in BOSSIER CITY, Louisiana. NPI 1538021415 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1538021415
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 29, 2025 (0.68249542738147 yrs)
- Last Updated
- Nov 29, 2025
- License
-
RN140491 (LA)
Practice Information
- Address
-
2704 SHED RD APT 163IBOSSIER CITY, LA, 711113368Browse LA providers · Browse ZIP 71111
- Phone
- 3183443864
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in BOSSIER CITY, LA
| Name | Credential | NPI |
|---|---|---|
| CHAITANYA UNDAVALLI | — | 1902427651 |
| MS. LADONIA GAGE | — | 1275383119 |
| RACHAEL FEASTER | — | 1265274542 |
| CORTLYN MACALL BOYD | DO | 1003658287 |
| DANIEL ALAN DORSEY | — | 1164250247 |
| BRAEDEN MCCUTCHAN | MD | 1063215960 |
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.