NPI 1538021415

Miranda Rashay Blackmon, PMHNPSTUDENT

Practitioner Student in an Organized Health Care Education/Training Program Bossier City, LA

Practice location

Address: 2704 Shed Rd APT 163i, Bossier City, LA 71111-3368
Phone: (318) 344-3864

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence RN140491 (LA)

Other Student in an Organized Health Care Education/Training Program providers in Louisiana →

Registry record

NPI: 1538021415
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2025
Record last updated: 29 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.