Griffin, Jared Blake

Griffin, Jared Blake is an sole proprietor health care provider with primary practice located at 100 Hillcrest Medical Blvd , Waco TX 76712-8897. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as his primary health care specialty. Griffin, Jared Blake can be contacted via phone (254) 202-2900.

Contact Information

Primary practice address
100 Hillcrest Medical Blvd Waco TX 76712-8897
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X AP141025 Texas

Profile Details

NPI number 1013489061
LBN Legal business name Griffin, Jared Blake
Credentials NNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2018
Last updated Jan 4th, 2022 - about 3 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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