Organization
BLONDELS HEALTH SERVICES LLC
Active
Other names
Blondel's Health Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BLONDEL L JARVIS NP (NP/OWNER)
(339) 837-1449
Entity
Organization
Contact information
Practice address
5 SCALLY CIR, RANDOLPH, MA 02368-2443
(339) 837-1449
(339) 837-1076
Mailing address
5 SCALLY CIR, RANDOLPH, MA 02368-2443
(339) 837-1449
(339) 837-1076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110202833A
—
MA
Enumeration date
10/28/2022
Last updated
10/05/2023
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