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Contact Information

MARY Z BLACKBURN, RN, CNS-MS-BC
351 CYPRESS CREEK RD
SUITE 201
CEDAR PARK, TX78613-4528
 Phone: 512-416-7246
 Fax: 512-275-2833
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Clinical Nurse Specialist

364S00000X 89 Certified Clinical Nurse Specialist
 

Medical-Surgical

364SM0705X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for MARY Z BLACKBURN · (Female)

NPI Number 1699930628
Status Active
Credentials RN, CNS-MS-BC
Entity Individual
Enumeration date 07/18/2008
Last updated 10/27/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • TX License # AP111190
  • TX Medicaid 207705903
  • TX Medicaid 207705904
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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