Individual
JORDAN LYNN BLAUFUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
774 ROAD M, OLPE, KS, 66865, OLPE, KS 66865
(620) 344-2126
Mailing address
420 W 15TH AVE, EMPORIA, KS 66801-5367
(620) 342-4864
(620) 343-3545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53-80200-072
KS
363L00000X
Nurse Practitioner
Primary
80200
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201334100A
—
KS
Enumeration date
05/17/2021
Last updated
04/28/2026
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