Individual
JANICE REYBURN BLANN
Active
Individual
JANICE REYBURN BLANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
227742
AZ
363LG0600X
Gerontology Nurse Practitioner
Primary
5021894
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227742
ARIZONA NURISNG BOARD
AZ
01
—
5021894
NP
NC
05
—
561715
—
AZ
Enumeration date
07/23/2019
Last updated
04/09/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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