Blakeslee, Jeanne

Blakeslee, Jeanne is an individual health care provider with primary practice located at 1100 E Southlake Blvd Ste 300 , Southlake TX 76092-6350. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Blakeslee, Jeanne can be contacted via phone (178) 873-0595.

Contact Information

Primary practice address
1100 E Southlake Blvd Ste 300 Southlake TX 76092-6350
Fax: (817) 873-0596
Website:

Health care specialties

Profile Details

NPI number 1265907414
LBN Legal business name Blakeslee, Jeanne
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2018
Last updated Mar 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265907414 NPPES
Texas Other AP139257 APRN

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