Individual
JEREMY AURBREY BLANZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1 MEDICAL PARK BOULEVARD, SUITE 400E, BRISTOL, TN 37620
(423) 844-5400
(423) 844-5434
Mailing address
1 MEDICAL PARK BOULEVARD, SUITE 400E, BRISTOL, TN 37620
(423) 844-5400
(423) 844-5434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24573
TN
363LA2200X
Adult Health Nurse Practitioner
24573
TN
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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