Patrick-Blaikie, Jeannine

Patrick-Blaikie, Jeannine is an individual health care provider with primary practice located at 292 Frantz Rd Ste 108, Stroudsburg PA 18360-7455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Patrick-Blaikie, Jeannine can be contacted via phone (570) 426-2960.

Contact Information

Primary practice address
292 Frantz Rd Ste 108 Stroudsburg PA 18360-7455
Phone: (570) 426-2960
Fax: (570) 426-2965
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X VP006532C Pennsylvania

Profile Details

NPI number 1083739502
LBN Legal business name Patrick-Blaikie, Jeannine
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Nov 6th, 2013 - about 13 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 1083739502 NPPES
Pennsylvania Other VP006532C PA STATE LICENSE

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