Blackmon, Victoria Elise

Blackmon, Victoria Elise is an individual health care provider with primary practice located at 6019 Walnut Grove Rd , Memphis TN 38120-2113. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / School. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Blackmon, Victoria Elise can be contacted via phone (901) 226-5000.

Contact Information

Primary practice address
6019 Walnut Grove Rd Memphis TN 38120-2113
Phone: (901) 226-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 29781 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 133854 Tennessee
Nursing Service Providers / School 163WS0200X 904087 Mississippi

Profile Details

NPI number 1831796614
LBN Legal business name Blackmon, Victoria Elise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2020
Last updated Jul 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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