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Contact Information

JO BLASENGAME, AGACNP-BC
1609 W 40TH AVE STE 205
PINE BLUFF, AR71603-6367
 Phone: 870-541-7211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JO BLASENGAME · (Female)

NPI Number 1356005250
Status Active
Credentials AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner)
Entity Individual
Enumeration date 10/26/2021
Last updated 01/27/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 217776
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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