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Individual

TRINITY JARED BLEVINS

Active
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Individual

TRINITY JARED BLEVINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNP

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4052595
KY
207QA0000X
Adolescent Medicine (Family Medicine) Physician
4052595
KY
207QA0505X
Adult Medicine Physician
4052595
KY
363LF0000X
Family Nurse Practitioner
Primary
4052595
KY
363LP2300X
Primary Care Nurse Practitioner
4052595
KY

Other

Enumeration date
03/11/2026
Last updated
07/10/2026
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