Individual
JASMINE ARLEAN BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
501 AVALON WAY STE C, BRANDON, MS 39047-7500
(601) 992-9790
Mailing address
501 AVALON WAY STE C, BRANDON, MS 39047-7500
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
AP146058
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
903445
MS
Other
Enumeration date
07/30/2019
Last updated
06/10/2020
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