Blanks, Angela Nicole

Blanks, Angela Nicole is an individual health care provider with primary practice located at 135 Oyster Creek Dr Ste B , Lake Jackson TX 77566-4119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blanks, Angela Nicole can be contacted via phone (979) 215-2309.

Contact Information

Primary practice address
135 Oyster Creek Dr Ste B Lake Jackson TX 77566-4119
Phone: (979) 215-2309
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP139689 Texas

Profile Details

NPI number 1528495033
LBN Legal business name Blanks, Angela Nicole
Credentials RN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2013
Last updated Jan 3rd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528495033 NPPES
Texas MEDICAID 45-4828957

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