Individual provider · Type 1 NPI

Jessica L. Blank

Acute Care Nurse Practitioner · Beavercreek, OH

NPI number 1386420313 Active

Practice location

3535 Pentagon Blvd
Beavercreek, OH 45431-1705

Mailing address

PO Box 638685
Cincinnati, OH 45263-5283

Other practice locations

  • 1 Medical Village Dr, Edgewood, KY 41017 · (859) 301-2250
  • 1 Medical Village Dr, Edgewood, KY 41017-3403 · (859) 757-2927

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X4007154 (KY)
Acute Care Nurse Practitioner Primary 363LA2100XAPRN.CNP.0038855 (OH)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1386420313

Jessica L. Blank's National Provider Identifier is 1386420313, issued on Sep 6, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Beavercreek, OH. The record was last updated on Apr 30, 2025.