Jazzmen Blanks, CNA
Nurse's Aide in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1245192152
StatusActive
Last updated in NPPESDec 1, 2025
Details
- NPI
- 1245192152
- Entity type
- Individual (NPI-1)
- Name
- Jazzmen Blanks
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2025
- Certification date
- Nov 30, 2025
- Last updated
- Dec 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | CNA2503256 | IN | Yes |
Practice location
5501 Old Dover Blvd Apt 1Fort Wayne, IN 46835-2851
Phone 260-445-0633
Mailing address
5501 Old Dover Blvd Apt 1Fort Wayne, IN 46835-2851
Phone 260-445-0633
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All 10 Nurse's Aide providers in Fort Wayne · All 11,302 providers in Fort Wayne
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