Blaylock, Jaime Christen

Blaylock, Jaime Christen is an individual health care provider with primary practice located at 1407 W Baddour Pkwy , Lebanon TN 37087-2513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blaylock, Jaime Christen can be contacted via phone (615) 444-6203.

Contact Information

Primary practice address
1407 W Baddour Pkwy Lebanon TN 37087-2513
Phone: (615) 444-6203
Fax: (615) 444-6252
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13426 Tennessee

Profile Details

NPI number 1083881064
LBN Legal business name Blaylock, Jaime Christen
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2008
Last updated Aug 9th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083881064 NPPES
Tennessee Other 150001 TN RN LICENSE
Tennessee Other 3323078 TN RN LICENSE
Tennessee Other 13426 TN RN LICENSE
Tennessee Other 12242142 TN RN LICENSE
Tennessee Other 4250760 TN RN LICENSE
Tennessee MEDICAID 1519667 TN RN LICENSE

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