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Individual
JASLYN BLACKWELL
Active
Individual
JASLYN BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1032344
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1032344
TX
363LG0600X
Gerontology Nurse Practitioner
1032344
TX
Other
Enumeration date
11/18/2022
Last updated
12/02/2024
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