Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice T Blackmon, PNP-C

Individual provider Pediatric Nurse Practitioner · NPI 1265413264

Alice T Blackmon, PNP-C is a Pediatric Nurse Practitioner in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005

Practice location Address checks out

7323 Marbach Rd Ste 104
San Antonio, TX 78227-1905
Phone: (210) 645-4305
Fax: (210) 673-1850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence AP108315 (TX)

Record details

NPI number1265413264
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP-C
Sole proprietorNo
NPI enumeratedNovember 8, 2005
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

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