Katrina Marie Blackard, NP is a primary care nurse practitioner in Southaven, MS with 4 years of experience. Katrina Marie Blackard, NP NPI is 1467051029. 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:
401 SOUTHCREST CIR STE 212
SOUTHAVEN, MS
ZIP 38671-721
Phone: (662) 349-0488
Fax: (662) 349-5974
The NPI 1467051029 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 10/23/2020 and was last updated on 7/13/2022.