Individual
DR. JENNIFER LAURA BLEZNAK
Active
Individual
DR. JENNIFER LAURA BLEZNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101266625
VA
208000000X
Pediatrics Physician
Primary
C1-0024548
DE
2080N0001X
Neonatal-Perinatal Medicine Physician
0101266625
VA
208D00000X
General Practice Physician
C1-0024548
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101266625
STATE LICENSE
VA
Enumeration date
04/11/2016
Last updated
02/11/2026
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