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Contact Information

JENNIFER BLAYLOCK, FNP
1010 S 3RD ST
POLK CITY, IA50226-1130
 Phone: 515-986-6426
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JENNIFER BLAYLOCK · (Female)

NPI # 1316651524
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 01/11/2023
Last updated 03/25/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IA License # A172505
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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