Individual
JACKIE L BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1789
(806) 212-2129
Mailing address
1600 WALLACE BLVD, AMARILLO, TX 79106-1789
(806) 212-2129
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1056941
TX
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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