Individual provider · Type 1 NPI

Jessica Lynne Blalock, NP

Nurse Practitioner · Winston Salem, NC

NPI number 1497419220 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-6670

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X5015539 (NC)
Nurse Practitioner Primary 363L00000X5015539 (NC)

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…

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About NPI 1497419220

Jessica Lynne Blalock, NP's National Provider Identifier is 1497419220, issued on Oct 27, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 9, 2023.