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Contact Information

TRACI BLACKBURN, FNP
643 I45 S.
BUILDING A
HUNTSVILLE, TX77340
 Phone: 281-975-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for TRACI BLACKBURN · (Female)

NPI # 1295586196
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/28/2024
Last updated 10/31/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • TX License # 1215344
  • TX License # 888082
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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