Individual
JIM ROLAND BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 242-0731
(970) 244-1331
Mailing address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 242-0731
(970) 244-1331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101182
CO
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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