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Individual

MS. JESSICA CHANE BLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
155 VAN GORDON ST, LAKEWOOD, CO 80228-1709
(866) 633-8846
Mailing address
PO BOX 7172, CHARLOTTE, NC 28241-7172

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
243895
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
AG06200310
NC

Other

Enumeration date
02/26/2013
Last updated
11/03/2023
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