Individual
MS. JESSICA A. BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3419 E ELENA LN, CHATTAROY, WA 99003-5121
(509) 960-6527
(833) 989-2072
Mailing address
3419 E ELENA LN, CHATTAROY, WA 99003-5121
(509) 960-6527
(833) 989-2072
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP30005441
WA
Other
Enumeration date
05/19/2006
Last updated
06/01/2022
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