Individual provider · Type 1 NPI

Jillian M. Blank

Student in an Organized Health Care Education/Training Program · Santa Rosa, CA

NPI number 1194438309 Active

Practice location

PO Box 2021
Santa Rosa, CA 95405-0021

Call (707) 765-8488 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194438309

Jillian M. Blank's National Provider Identifier is 1194438309, issued on Jan 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Rosa, CA. The record was last updated on Feb 5, 2026.