| Jenny Blackman, NP | |
|
2240 Gulf Fwy S, Fl 4 Plaza 1, League City, TX 77573-5143 | |
| (832) 505-1234 | |
| (832) 505-3148 |
| Full Name | Jenny Blackman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 2240 Gulf Fwy S, League City, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194295899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP139688 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Houston Methodist Hospital | Houston, TX | Hospital |
| Houston Methodist St John Hospital | Nassau bay, TX | Hospital |
| Houston Methodist Sugarland Hospital | Sugar land, TX | Hospital |
| Houston Methodist Willowbrook Hospital | Houston, TX | Hospital |
| Houston Methodist The Woodlands Hospital | The woodlands, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utmb Faculty Group Practice | 3375456734 | 948 |
| Tmh Physician Associates Pllc | 4486711744 | 1766 |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Entity Name | Tmh Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275779225 PECOS PAC ID: 4486711744 Enrollment ID: O20090401000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Blackman, NP 5353 Memorial Dr Unit 1022, Houston, TX 77007-8271 Ph: (281) 731-3652 | Jenny Blackman, NP 2240 Gulf Fwy S, Fl 4 Plaza 1, League City, TX 77573-5143 Ph: (832) 505-1234 |
Mrs. Laura Day Ellender, RN, CEN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6465 S Shore Blvd, League City, TX 77573 Phone: 281-538-7735 | |
Mona Kidwell, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2785 Gulf Fwy S, Suite 115, League City, TX 77573 Phone: 832-816-1370 | |
Tiauna Lenea Douglas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2785 Gulf Fwy S Ste 2.200, League City, TX 77573 Phone: 888-886-2543 | |
Hilma Peiso Bochantin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2240 Gulf Fwy S, League City, TX 77573 Phone: 832-505-1234 | |
Lorelei Marquez Liquigan, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 Maplewood Dr, League City, TX 77573 Phone: 281-898-3436 | |
Cheryl Brackens, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2955 Gulf Fwy S, League City, TX 77573 Phone: 713-935-0333 | |
Kathleen Nicole Henry, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2212 Lakewind Ln, League City, TX 77573 Phone: 832-221-5042 |