Individual
JAMIE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
484 GOLDEN AUTUMN WAY STE 201, BOWLING GREEN, KY 42103-6914
(270) 781-5111
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4007596
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2023
Last updated
08/09/2023
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