TIERRA BLACKMON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033587

License Status

ACTIVE

Business

First Name

TIERRA

Last Name

BLACKMON

Business Name

TIERRA BLACKMON

Original Issue Date

10/17/2025

Effective Date

10/17/2025

Expiration Date

05/31/2026

City

CANTON

State

Zip

39046

Ever Disciplined

LastModifiedDate

03/02/2026