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Individual
JONELL BLASE
Active
Individual
JONELL BLASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
84052765
OR
363LX0106X
Occupational Health Nurse Practitioner
Primary
84052765
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
276733
OMAP
OR
01
—
ANP 0052
WORKMAN'S COMP
OK
Enumeration date
12/13/2006
Last updated
04/09/2026
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