Individual
JESSICA LYNN BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8201
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
01/13/2016
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