Blascoe, Jean Marie

Blascoe, Jean Marie is an individual health care provider with primary practice located at 3830 Evans Ave , Fort Myers FL 33901-9305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Blascoe, Jean Marie can be contacted via phone (239) 939-2808.

Contact Information

Primary practice address
3830 Evans Ave Fort Myers FL 33901-9305
Phone: (239) 939-2808
Fax: (239) 939-4794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 309003042 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 9366764 Florida

Profile Details

NPI number 1093975948
LBN Legal business name Blascoe, Jean Marie
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Jan 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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