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NANCY ANN BLACKETER FNP
NPI 1518152925
Nurse Practitioner in Patton, CA

Active since September 10, 2007
3102 EAST HIGHLAND AVE, PATTON, CA 92369(909) 425-7000(909) 425-7520 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nancy Ann Blacketer Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANCY ANN BLACKETER FNP (NPI 1518152925) is an individual nurse practitioner in Patton, California, licensed in California (RN11513) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1518152925
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameNANCY ANN BLACKETERCredential: FNP
Location Address3102 EAST HIGHLAND AVEPatton, CA 92369
Mailing Address1600 9th Street, Room 205 Mailstop 2-3Sacramento, CA 95814-6414 · (916) 654-2431 · Fax (916) 654-3186
Phone(909) 425-7000
Fax(909) 425-7520
Sole ProprietorYes
Enumeration DateSeptember 10, 2007
✔ NPI 1518152925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · RN11513
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3102 EAST HIGHLAND AVE, Patton, CA 92369
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Other Identifiers 2

Medicare PINZZZ23581ZCA
Medicare UPINP68240CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARARELI ALCANTARA-LIU MD
Psychiatry & Neurology (Psychiatry)
3102 EAST HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DR. MICHAEL ALLEN CUMMINGS MD
Psychiatry & Neurology (Psychiatry)
3102 EAST HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DR. TALAT KHAN MD
General Practice
3102 EAST HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DR. DONNA L ROBINSON PHD
Psychologist
3102 EAST HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000
EUGENE IKHIMIUKOR MD
Psychiatry & Neurology (Psychiatry)
3102 EAST HIGHLAND AVE, PATTON STATE HOSPITAL
PATTON, CA 92369
San Bernardino County (909) 425-7687
MRS. CARISE ELIZABETH CHARLES NP
Nurse Practitioner (Family)
3102 EAST HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7844
LORNA CARLIN MD
Psychiatry & Neurology (Psychiatry)
3102 EAST HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000
SUSAN VELASQUEZ PSYCHOLOGIST PHD
Psychologist
3102 EAST HIGHLAND AVE
PATTON, CA 92369
San Bernardino County (909) 425-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nancy Blacketer's NPI number?

The NPI number for Nancy Blacketer is 1518152925. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Where is Nancy Blacketer located?

Nancy Blacketer practices at 3102 East Highland Ave, Patton, CA 92369. The listed phone number is (909) 425-7000.

What is Nancy Blacketer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Nancy Blacketer was last updated on September 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.