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Jamie Blackmon is one of 195 nurse practitioners practicing in Longview, Texas .
Jamie Blackmon practices with ACS Primary Care Physicians Southwest PA.
Registry record (NPPES)
NPI
1356913586
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
2901 4th St Longview, TX 75605-5128 (903) 930-6688
Enumerated
Jul 16, 2021
Record last updated
Dec 27, 2022
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
2901 4th St
Longview , TX 75605
(903) 758-1818
More nurse practitioners in Longview
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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