Individual
JESSICA DAWN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3101 RICHMOND RD, LEXINGTON, KY 40509-1599
(606) 213-6909
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014451
KY
Other
Enumeration date
03/21/2020
Last updated
04/22/2025
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