Individual provider · Type 1 NPI
Jeanne Marie Blakeslee, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Southlake, TX
NPI number
1265907414
Active
Practice location
1100 E Southlake Blvd Ste 300
Southlake, TX 76092-6350
Fax (817) 873-0596
Mailing address
101 W Cooperative Way, Ste 110
Georgetown, TX 78626-8209
Other practice locations
- 1515 S Capital Of Texas Hwy Ste 300, Austin, TX 78746-6544 · (844) 824-8775
- 801 7th Ave, Fort Worth, TX 76104-2733 · (682) 885-1050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP139257 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1265907414
Jeanne Marie Blakeslee, PMHNP's National Provider Identifier is 1265907414, issued on Oct 3, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southlake, TX. The record was last updated on Jun 26, 2025.