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Search › Louisiana › Student in an Organized Health Care Education/Training Program

Miranda Blackmon, PMHNP STUDENT

NPI 1538021415 · on the registry since 2025

Practice

Address
2704 Shed Rd Apt 163i
Bossier City, LA 71111
Phone
(318) 344-3864
Clinicians at this address
3

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana