Blount, Jacob Benjamin
Blount, Jacob Benjamin is an individual health care provider with primary practice located at 1224 Reynolds Dr , Charleston IL 61920-2436. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Blount, Jacob Benjamin can be contacted via phone (217) 317-9469.Contact Information
Primary practice address
1224 Reynolds Dr
Charleston IL 61920-2436
Phone: (217) 317-9469
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Emergency | 163WE0003X | 041.421877 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.018171 | Illinois |
Profile Details
NPI number | 1477018927 |
---|---|
LBN Legal business name | Blount, Jacob Benjamin |
Credentials | MSN, APRN, FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2019 |
Last updated | Jul 11th, 2020 - about 5 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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