Individual
JASMINE ARLEAN BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
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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