Blaylock, Janille Ann

Blaylock, Janille Ann is an sole proprietor health care provider with primary practice located at 2702 Navarre Ave Ste 320 , Oregon OH 43616-3224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blaylock, Janille Ann can be contacted via phone (419) 696-5555.

Contact Information

Primary practice address
2702 Navarre Ave Ste 320 Oregon OH 43616-3224
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.024141 Ohio

Profile Details

NPI number 1003389313
LBN Legal business name Blaylock, Janille Ann
Credentials APRN, NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2019
Last updated May 23rd, 2019 - about 7 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 1003389313 NPPES
Ohio MEDICAID 0346545

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