Krysti M Blankenship, NP
Nurse Practitioner in Joplin, MO. Individual provider (NPI-1).
NPI number1790711042
StatusActive
Last updated in NPPESMar 8, 2012
Details
- NPI
- 1790711042
- Entity type
- Individual (NPI-1)
- Name
- Krysti M Blankenship
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2006
- Last updated
- Mar 8, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 137978 | MO | Yes |
Other names
- Krysti M. Rea (Former Name)
Practice location
1102 W 32nd St Ste 200Joplin, MO 64804-3503
Phone 417-347-5001 · Fax 417-347-2477
Mailing address
Po Box 3810Joplin, MO 64803-3810
Phone 417-347-5001 · Fax 417-347-2477
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