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Jeremy Aurbrey Blanzy, FNP-BC

Nurse Practitioner in Bristol, TN. Individual provider (NPI-1).

NPI number1992285308
StatusActive
Last updated in NPPESAug 15, 2018

Details

NPI
1992285308
Entity type
Individual (NPI-1)
Name
Jeremy Aurbrey Blanzy
Credential
FNP-BC
Sex
Male
Sole proprietor
No
Enumeration date
Aug 15, 2018
Last updated
Aug 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner24573TNYes
363LA2200X Nurse Practitioner, Adult Health24573TN

Practice location

1 Medical Park Boulevard
Suite 400e
Bristol, TN 37620

Phone 423-844-5400 · Fax 423-844-5434

Mailing address

1 Medical Park Boulevard
Suite 400e
Bristol, TN 37620

Phone 423-844-5400 · Fax 423-844-5434

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