Individual
JILL BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 529-4685
(417) 659-9101
Mailing address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 529-4685
(417) 782-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015029761
MO
Other
Enumeration date
08/20/2015
Last updated
04/12/2024
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