Individual
JESSICAH BLASDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 ROBERT S KERR AVE, OKLAHOMA CITY, OK 73102-3457
(877) 868-5351
Mailing address
PO BOX 1771, EDMOND, OK 73083-1771
(405) 659-3705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200199
OK
Other
Enumeration date
10/31/2020
Last updated
12/30/2020
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