Individual provider · Type 1 NPI

Judith M. Blickenstaff, FNP

Nurse Practitioner · Medford, OR

NPI number 1750460416 Active

Practice location

2825 East Barnett Rd
Medford, OR 97504-8332

Fax (541) 774-7954

Mailing address

PO Box 4749
Medford, OR 97501-0227

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X079043756NI (OR)
Family Nurse Practitioner 363LF0000X079043756N1 (OR)

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 1750460416

Judith M. Blickenstaff, FNP's National Provider Identifier is 1750460416, issued on Nov 3, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Medford, OR. The record was last updated on Jul 9, 2015.