Tierra Elonda Blackmon is a family nurse practitioner in Dallas, TX with 8 years of experience. Tierra Elonda Blackmon NPI is 1003261363. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390-208
Phone: (214) 633-5555
The NPI 1003261363 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/24/2016 and was last updated on 11/13/2019.