Individual provider · Type 1 NPI

Jacob Blasingame, PA-C

Physician Assistant · Monticello, IL

NPI number 1720619232 Active

Practice location

1000 Medical Center Dr
Monticello, IL 61856-2116

Call (217) 762-6241 Map

Fax (217) 762-1702

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085007530 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720619232

Jacob Blasingame, PA-C's National Provider Identifier is 1720619232, issued on Feb 3, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Monticello, IL. The record was last updated on Dec 13, 2024.