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Individual

JENNY ALEXIS BLAGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
777 JORDAN DR, MONTICELLO, AR 71655-5719
(870) 460-9001
(870) 412-4575
Mailing address
200 MOHAWK ST, DUMAS, AR 71639-2736
(870) 723-0206

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213090
AR

Other

Enumeration date
09/21/2020
Last updated
09/21/2020
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