Doctor Name: | MS. EMILY ALANE BLEVINS |
NPI Number: | 1407282577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, FNP-BC |
License Number: | 733005 |
Business Practice Address: | 301 E Ovilla Rd Suite 100 Red Oak, TX - 751543833 |
Business Phone Number: | 9726175225 |
Business Fax Number: | |
Mailing Address: | 301 E Ovilla Rd, Suite 100 RED OAK |
State: | TX |
Postal Code: | 751543833 |
Phone Number: | 9726175225 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2013 |
NPI Last Update Date: | 09/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 733005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |