Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Bettie Blackmon, FNP-C

Individual provider Family Nurse Practitioner · NPI 1356344949

Mrs. Bettie Blackmon, FNP-C is a Nurse Practitioner in Clinton, Louisiana. Qualified in 2000, 26 years ago. Practices with Primary Care Providers for a Healthy Feliciana, Inc, a 43-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
26
Licensed in
LA
In the registry since
2005
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

11990 Jackson St
Clinton, LA 70722-3210
Phone: (225) 683-5292
Fax: (225) 683-3411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP03903 (LA)

Record details

NPI number1356344949
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESMarch 7, 2023
Certification dateJanuary 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Primary Care Providers For A Healthy Feliciana, Inc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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