Individual provider · Type 1 NPI

Jazzmen Blanks, CNA

Nurse's Aide · Fort Wayne, IN

NPI number 1245192152 Active

Practice location

5501 Old Dover Blvd Apt 1
Fort Wayne, IN 46835-2851

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XCNA2503256 (IN)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1245192152

Jazzmen Blanks, CNA's National Provider Identifier is 1245192152, issued on Dec 1, 2025. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 1, 2025.