| NPI | 1043518756 |
|---|---|
| Former Name | TERA D BLACKMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN9264398) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9264398) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2025-09-15 |