Jackie L Blankenship, AGACNP-BC
Nurse Practitioner, Acute Care in Amarillo, TX. Individual provider (NPI-1).
NPI number1750179693
StatusActive
Last updated in NPPESApr 29, 2025
Details
- NPI
- 1750179693
- Entity type
- Individual (NPI-1)
- Name
- Jackie L Blankenship
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2025
- Certification date
- Apr 2, 2025
- Last updated
- Apr 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 1056941 | TX | Yes |
Practice location
1600 Wallace BlvdAmarillo, TX 79106-1789
Phone 806-212-2129
Mailing address
1600 Wallace BlvdAmarillo, TX 79106-1789
Phone 806-212-2129
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All 20 Acute Care Nurse Practitioner providers in Amarillo · All 5,175 providers in Amarillo
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