Individual
JILL BLODGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2345 FAIR OAKS BOULEVARD STATION 4, SACRAMENTO, CA 95825
(916) 480-6433
Mailing address
4601 BROOKSIDE RD, CAMERON PARK, CA 95682-9692
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10080
CA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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