Blankenship, Derek

Blankenship, Derek is an individual health care provider with primary practice located at 620 Skyline Dr , Jackson TN 38301-3923. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blankenship, Derek can be contacted via phone (731) 541-6180.

Contact Information

Primary practice address
620 Skyline Dr Jackson TN 38301-3923
Phone: (731) 541-6180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2793 Tennessee

Profile Details

NPI number 1194106690
LBN Legal business name Blankenship, Derek
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2015
Last updated Oct 5th, 2015 - about 10 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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