Blanco, Jessica Marian

Blanco, Jessica Marian is an individual health care provider with primary practice located at 44405 Woodward Ave , Pontiac MI 48341-5023. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Blanco, Jessica Marian can be contacted via phone (248) 858-3000.

Contact Information

Primary practice address
44405 Woodward Ave Pontiac MI 48341-5023
Phone: (248) 858-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601010756 Michigan

Profile Details

NPI number 1043704802
LBN Legal business name Blanco, Jessica Marian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2018
Last updated Sep 14th, 2021 - about 3 years ago

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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