Individual
MR. JAMES ALLEN BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C-APN
Contact information
Practice address
146 CCA ROAD, LUMPKIN, GA 31815
(229) 838-1270
(866) 381-0255
Mailing address
PO BOX 248, 146 CCA RD, LUMPKIN, GA 31815
(229) 838-1270
(866) 381-0255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001177356
VA
163WG0000X
General Practice Registered Nurse
50624
WV
363LF0000X
Family Nurse Practitioner
0017137421
VA
363LF0000X
Family Nurse Practitioner
Primary
0024165021
VA
363LF0000X
Family Nurse Practitioner
1177356
VA
Other
Enumeration date
04/14/2013
Last updated
01/19/2016
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