Blues, Jackelyn N.

Blues, Jackelyn N. is an individual health care provider with primary practice located at 1760 Nicholasville Rd Suite 603, Lexington KY 40503-1471. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Blues, Jackelyn N. can be contacted via phone (859) 277-2211.

Contact Information

Primary practice address
1760 Nicholasville Rd Suite 603 Lexington KY 40503-1471
Phone: (859) 277-2211
Fax: (859) 277-7575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA247 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA247 Kentucky

Profile Details

NPI number 1285729368
LBN Legal business name Blues, Jackelyn N.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 10th, 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 1285729368 NPPES
Kentucky MEDICAID 95002473
Kentucky Other 970020899

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