Individual provider · Type 1 NPI

Jo Blasengame, AGACNP-BC

Nurse Practitioner · Pine Bluff, AR

NPI number 1356005250 Active

Practice location

1609 W 40th Ave Ste 205
Pine Bluff, AR 71603-6367

Call (870) 541-7211 Map

Mailing address

PO Box 2650
Pine Bluff, AR 71613-2650

Other practice locations

2894 Autumn Hills Rd, Star City, AR 71667-9554 · (870) 628-3842
4310 S Mulberry St, Pine Bluff, AR 71603-7030 · (870) 541-7211
1609 W 40th Ave Ste 111, Pine Bluff, AR 71603-6319 · (870) 541-7211

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner	363LA2100X	217776 (AR)
Nurse Practitioner Primary	363L00000X	217776 (AR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

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About NPI 1356005250

Jo Blasengame, AGACNP-BC's National Provider Identifier is 1356005250, issued on Oct 26, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pine Bluff, AR. The record was last updated on Jan 27, 2023.