Blaylock, Jennifer

Blaylock, Jennifer is an individual health care provider with primary practice located at 1010 S 3Rd St , Polk City IA 50226-1130. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Blaylock, Jennifer can be contacted via phone (515) 986-6426.

Contact Information

Primary practice address
1010 S 3Rd St Polk City IA 50226-1130
Phone: (515) 986-6426
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A172505 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X A172505 Iowa

Profile Details

NPI number 1316651524
LBN Legal business name Blaylock, Jennifer
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2023
Last updated Mar 25th, 2024 - about 8 months 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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