Individual
STEPHANIE JEMESE BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(904) 372-3943
(904) 212-1618
Mailing address
4190 BELFORT RD STE 352, JACKSONVILLE, FL 32216-1407
(904) 372-3943
(904) 212-1618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-123442
AL
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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