Individual
JAMIE HISAE BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
22 SHIPWASH DR, GARNER, NC 27529-6861
(919) 213-7874
Mailing address
22 SHIPWASH DR, GARNER, NC 27529-6861
(818) 606-9038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013187
NC
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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