JORDAN TYLER BLEVINS

CHARLESTON, WV
NPI1487175436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  APRN86857-NP-C)
Enumeration Date2017-06-29
Last Update Date2022-07-21
Business Address
JORDAN TYLER BLEVINS FNP-C
415 MORRIS ST STE 400
CHARLESTON, WV 25301-1854
Phone number: 304-344-3551
Mailing Address
JORDAN TYLER BLEVINS FNP-C
415 MORRIS ST STE 400
CHARLESTON, WV 25301-1854
Phone number: 304-344-3551