JESSICA L BLANK

BEAVERCREEK, OH
NPI1386420313
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: OH  APRN.CNP.0038855)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: KY  4007154)
Enumeration Date2023-09-06
Last Update Date2025-04-30
Business Address
JESSICA L BLANK
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431-1705
Phone number: 937-395-6665
Mailing Address
JESSICA L BLANK
PO BOX 638685
CINCINNATI, OH 45263-5283
Phone number: 877-882-5644