Nurse Practitioner, Primary Care
KATRINA BLACKARD NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1467051029 · enumerated 2020-10-23 · record updated 2022-07-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 401 SOUTHCREST CIR STE 212, SOUTHAVEN, MS, 38671-6721 (662) 349-0488 Fax (662) 349-5974 Google Maps Apple Maps OpenStreetMap
- Mailing address 965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN, 38120-9401 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Primary Care 363LP2300X · License 28617 TN
- Nurse Practitioner, Primary Care 363LP2300X · Primary · License 904313 MS
In this directory
Locations and evidence
-
Practice location
SOUTHAVEN, MS, 386716721
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.