JO BLASENGAME

PINE BLUFF, AR
NPI1356005250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AR  217776)
Additional Taxonomies363LA2100X Nurse Practitioner Acute Care
(Licence: AR  217776)
Enumeration Date2021-10-26
Last Update Date2023-01-27
Business Address
JO BLASENGAME AGACNP-BC
1609 W 40TH AVE STE 205
PINE BLUFF, AR 71603-6367
Phone number: 870-541-7211
Mailing Address
JO BLASENGAME AGACNP-BC
PO BOX 2650
PINE BLUFF, AR 71613-2650
Phone number: 870-541-7211