Individual
JESSICA BLACKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
403 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6800
(715) 531-6801
Mailing address
403 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6800
(715) 531-6801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R-184602-7
MN
Other
Enumeration date
07/19/2015
Last updated
10/05/2016
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