Individual provider · Type 1 NPI

Jennifer Suzanne Blevins, NP

Nurse Practitioner · Leland, NC

NPI number 1629424742 Active

Practice location

501 Olde Waterford Way
Leland, NC 28451-4117

Call (910) 408-1130 Map

Fax (910) 408-1135

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 5717 Albemarle Rd, Charlotte, NC 28212-1634 · (704) 563-2150
  • 7810 Providence Rd, Suite 102, Charlotte, NC 28226-2954 · (704) 543-6636
  • 5727 Prosperity Crossing Dr, Suite 1100, Charlotte, NC 28269-2206 · (704) 863-9930
  • 501 Olde Waterford Way, Leland, NC 28451-4117 · (910) 408-1130
  • 1090 NE Gateway Ct NE, Suite 202, Concord, NC 28025-2414 · (704) 403-9050
  • 10210 Couloak Dr, Suite E, Charlotte, NC 28216-7679 · (704) 801-2000
  • 319 Village Rd NE, Leland, NC 28451-7417 · (910) 721-1197

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5008622 (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 1629424742

Jennifer Suzanne Blevins, NP's National Provider Identifier is 1629424742, issued on May 7, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Leland, NC. The record was last updated on Jan 2, 2026.