Individual
JENNY BLYSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5126 YOUNG RD, BELLEVUE, OH 44811-9721
(419) 681-4875
Mailing address
5126 YOUNG RD, BELLEVUE, OH 44811-9721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN326748
OH
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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