# BLAIRE BLANKINSHIP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124577580
- **Gender:** F
- **Credential:** APRN-CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R0106365 | OK | Yes |

## Other

- **Enumeration date:** 09/27/2016
- **Last updated:** 10/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200677520A | — | TX |
| 01 | — | 6B3927 | MEDICARE PTAN | TX |