Individual
JESSICA RENEE BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 SYLVANIA DR, BEAVERCREEK, OH 45440-3237
(937) 320-5050
Mailing address
75 SYLVANIA DR, BEAVERCREEK, OH 45440-3237
(937) 320-5050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LE-00027770
OH
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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