Individual
MRS. JAMIE DAWN BLAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
426 COMMERCE DRIVE, GREENSBURG, KY 42743
(270) 932-2424
(270) 932-2522
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3267P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11221412
CAQH
—
05
—
78004439
—
KY
Enumeration date
11/04/2005
Last updated
06/16/2023
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