Individual provider · Type 1 NPI

Jackie L. Blankenship, AGACNP-BC

Acute Care Nurse Practitioner · Amarillo, TX

NPI number 1750179693 Active

Practice location

1600 Wallace Blvd
Amarillo, TX 79106-1789

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	1056941 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1750179693

Jackie L. Blankenship, AGACNP-BC's National Provider Identifier is 1750179693, issued on Apr 29, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Amarillo, TX. The record was last updated on Apr 29, 2025.