Individual
JENNIFER M BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25401-9990
(304) 263-0811
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25401-9990
(304) 263-0811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002249
VA
363A00000X
Physician Assistant
Primary
1198
WV
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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