Jarvis, Blondel

Jarvis, Blondel is an individual health care provider with primary practice located at 5 Scally Cir , Randolph MA 02368-2443. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jarvis, Blondel can be contacted via phone (339) 837-1449.

Contact Information

Primary practice address
5 Scally Cir Randolph MA 02368-2443
Phone: (339) 837-1449
Fax: (339) 837-1076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN241852 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN241852 Massachusetts

Profile Details

NPI number 1225317670
LBN Legal business name Jarvis, Blondel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2011
Last updated Feb 24th, 2023 - about 3 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 1225317670 NPPES
Massachusetts MEDICAID 1225317670

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