JO BLASENGAME, AGACNP-BC

Nurse Practitioner

Active Individual
NPI: 1356005250

Practice Address

1609 W 40TH AVE STE 205
Pine Bluff, AR 71603

Phone: (870) 541-7211

Specialties

Specialty Code Primary License
Nurse Practitioner - Acute Care 363LA2100X No 217776 (AR)
Nurse Practitioner 363L00000X Yes 217776 (AR)

Frequently Asked Questions

NPI 1356005250 is the National Provider Identifier for JO BLASENGAME, AGACNP-BC, a Nurse Practitioner provider located in Pine Bluff, AR. This NPI was enumerated on October 26, 2021.
JO BLASENGAME, AGACNP-BC practices at 1609 W 40TH AVE STE 205, Pine Bluff, AR 71603.

Quick Facts

NPI
1356005250
Type
Individual
Enumerated
Oct 26, 2021
Last Updated
Jan 27, 2023

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