Individual
JORDAN T. BLESSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-1234
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5052
(502) 629-6217
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
0010-14256
NC
363A00000X
Physician Assistant
Primary
TC014
KY
Other
Enumeration date
12/30/2024
Last updated
02/24/2025
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