Angela Nicole Blanks, RN, FNP-C | |
135 Oyster Creek Dr Ste B, Lake Jackson, TX 77566-4119 | |
(979) 215-2309 | |
Not Available |
Full Name | Angela Nicole Blanks |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 135 Oyster Creek Dr Ste B, Lake Jackson, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528495033 | NPI | - | NPPES |
45-4828957 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP139689 (Texas) | Primary |
Entity Name | Tailored Weight Loss, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881166791 PECOS PAC ID: 1759627797 Enrollment ID: O20190111000310 |
Mailing Address | Practice Location Address |
---|---|
Angela Nicole Blanks, RN, FNP-C 135 Oyster Creek Dr Ste B, Lake Jackson, TX 77566-4119 Ph: (979) 215-2309 | Angela Nicole Blanks, RN, FNP-C 135 Oyster Creek Dr Ste B, Lake Jackson, TX 77566-4119 Ph: (979) 215-2309 |
Mrs. Lesley Lynne Nairn, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 207 That Way St Ste A-1, Lake Jackson, TX 77566 Phone: 979-297-7337 Fax: 979-266-9076 | |
Paige Cahill, FNP-X Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Abner Jackson Pkwy Ste C, Lake Jackson, TX 77566 Phone: 979-297-9086 | |
Smitha Biju John, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Oak Dr S Ste 102, Lake Jackson, TX 77566 Phone: 979-529-9050 | |
Mrs. Stephanie Alisa Zamora, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Oyster Creek Dr Ste E, Lake Jackson, TX 77566 Phone: 979-297-3387 Fax: 833-627-3526 | |
Carolyn Celestine Charles, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Circle Way St, Lake Jackson, TX 77566 Phone: 979-824-8291 | |
Mrs. Regina Marie Washington, FNP- BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 219 Oak Dr S, Lake Jackson, TX 77566 Phone: 979-297-4033 | |
Kaitlin Dingee, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 Phone: 979-285-2273 |