Individual
JENNIFER BLANSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
103 CENTENNIAL ST STE C, LA PLATA, MD 20646-5985
(301) 934-9111
(301) 934-9111
Mailing address
103 CENTENNIAL ST STE C, LA PLATA, MD 20646-5985
(301) 934-9111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R198500
MD
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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