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Contact Information

KRYSTI M BLANKENSHIP, NP
1102 W 32ND ST STE 200
JOPLIN, MO64804-3503
 Phone: 417-347-5001
 Fax: 417-347-2477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KRYSTI M BLANKENSHIP · (Female)

NPI # 1790711042
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/25/2006
Last updated 03/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 137978
  • KS Medicaid 200371410A
  • MO Medicaid 428336002
  • OK Medicaid 2000779010A
  • Other P00309838 RR MEDICARE
  • MO Other 206859 ANTHEM
Hospital affiliation(s)
  • FREEMAN HEALTH SYSTEM - FREEMAN WEST - (Acute Care)
    1102 WEST 32ND STREET
    JOPLIN, MO 64804
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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