Individual
DONALD JASON BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
571 S ALLEN RD, FLAT ROCK, NC 28731-9447
(828) 692-6178
(828) 692-9867
Mailing address
571 S ALLEN RD, FLAT ROCK, NC 28731-9447
(828) 692-6178
(828) 692-9867
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009207
NC
363LG0600X
Gerontology Nurse Practitioner
5009207
NC
Other
Enumeration date
01/10/2017
Last updated
08/17/2022
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