Individual
MRS. JENNIFER BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
104 BIG BEND RANCH ROAD, WADSWORTH, NV 89442
(775) 352-6840
(775) 352-6840
Mailing address
PO BOX 280, WADSWORTH, NV 89442-0280
(775) 352-6840
(775) 352-6840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
750866
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020529
—
AZ
Enumeration date
04/12/2010
Last updated
10/25/2012
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