Individual
JESSICA BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455
(225) 726-2412
Mailing address
29561 TIGER RD, DENHAM SPRINGS, LA 70726-1848
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN147129
LA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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