Mrs. Tara Rene Blackwelder
NP-C | Nurse Practitioner - Family
224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb
New Mexico, 88103-5014
575-784-2778
Mrs. Tara Rene Blackwelder is a Cannon Afb, New Mexico based nurse practitioner who is specialized as Family NP. Active license number of Mrs. Tara Rene Blackwelder is 115187 for Family NP in Nebraska. Her current practice location is 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb. Patients can reach her at 575-784-2778. Mrs. Tara Rene Blackwelder is NP-C with specialization in Family NP and her NPI number (Unique professional ID assigned by NPPES) is 1831526557.
Mrs. Tara Rene Blackwelder delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mrs. Tara Rene Blackwelder speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Tara Rene Blackwelder |
| Specialization: | Nurse Practitioner - Family (FNP) |
| Gender: | Female |
| Credentials: | NP-C |
| Practice Address: | 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb,
New Mexico, 88103-5014 |
| Phone: | 575-784-2778 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1831526557 |
| NPI Enumeration Date: | 27 Sep, 2013 |
| NPI Last Update On: | 11 Dec, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Tara Rene Blackwelder are as mentioned below.
| License Number | Specialization | State | Status | |
| 115187 | Family NP | Nebraska | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Tara Rene Blackwelder
27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408
Cannon Afb, New Mexico |
| Zip: | 88103-5014 |
| Phone Number: | 575-784-2778 |
Patients can reach Mrs. Tara Rene Blackwelder at
224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, New Mexico or can
call to book an appointment on 575-784-2778.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.