Nancy Ann Blacketer, FNP

Nurse Practitioner · Patton, CA

Individual Active NPI

NPI number 1518152925

Practice location

3102 East Highland Ave
Patton, CA 92369
Phone
(909) 425-7000
Fax
(909) 425-7520

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NPI record

NPI
1518152925
Entity type
Individual (Type 1)
Enumeration date
September 10, 2007
Last updated
September 10, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X RN11513 CA

Mailing address

1600 9TH Street
Room 205 Mailstop 2-3
Sacramento, CA 95814-6414
Phone
(916) 654-2431
Fax
(916) 654-3186

About Nancy Blacketer

Nancy Ann Blacketer, FNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 3102 East Highland Ave, Patton, CA 92369. The NPI number 1518152925 was assigned on September 10, 2007 and the record was last updated on September 10, 2007.

Nancy Blacketer lists a license in the registry: #RN11513 (CA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nancy Ann Blacketer, FNP?

The NPI number is 1518152925.

What is the phone number of Nancy Blacketer?

The phone number listed for the practice location is (909) 425-7000.

Where is Nancy Blacketer located?

3102 East Highland Ave, Patton, CA 92369.

What is the taxonomy code for Nancy Blacketer?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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