Individual
JENNIFER ALISON BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9919 STATE ROUTE 335 UNIT G, MINFORD, OH 45653-8954
(740) 835-1281
Mailing address
9919 STATE ROUTE 335 UNIT G, MINFORD, OH 45653-8954
(740) 835-1281
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.414378
OH
164W00000X
Licensed Practical Nurse
PN.100816
OH
Other
Enumeration date
11/29/2007
Last updated
03/13/2023
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