Individual
JADA BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
184 S HAMPTON RD, COLUMBUS, OH 43213-1608
(614) 942-9146
Mailing address
184 S HAMPTON RD, COLUMBUS, OH 43213-1608
(614) 942-9146
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.172416.MEDS-IV
OH
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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