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
Phone: (178) 873-0595
Fax: (817) 873-0596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 577068 | Texas |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265907414 | NPPES |
| Texas | Other | AP139257 | APRN |
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