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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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