Individual
JENNIFER ELIZABETH BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
401 COMMERCE CIR, MOUNT STERLING, KY 40353-7815
(859) 498-5243
(859) 498-5396
Mailing address
401 COMMERCE CIR, MOUNT STERLING, KY 40353-7815
(859) 498-5243
(859) 498-5396
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3003862
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
3003862
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78014990
—
KY
Enumeration date
09/29/2005
Last updated
10/26/2021
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