Individual provider · NPI-1

Jenny Blackman, NP

Nurse Practitioner, Family · League City, TX

NPI number1194295899
StatusActive
Last updated in NPPESFeb 23, 2026

Details

NPI
1194295899
Entity type
Individual (NPI-1)
Name
Jenny Blackman
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 26, 2018
Certification date
Feb 23, 2026
Last updated
Feb 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP139688TXYes

Practice location

2240 Gulf Fwy S
Fl 4 Plaza 1
League City, TX 77573-5143

Phone 832-505-1234 · Fax 832-505-3148

Mailing address

5353 Memorial Dr Unit 1022
Houston, TX 77007-8271

Phone 281-731-3652

Other practice locations

13325 Hargrave Rd Ste 270
Houston, TX 77070-4540

Phone 713-854-3863

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