Individual
JAXSYN RYKER BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 ANN ST, BECKLEY, WV 25801-6402
(304) 890-0452
Mailing address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
(304) 256-7159
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
WV
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
04/09/2026
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