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Tammie L Blevins, ANP
Adult Health Nurse Practitioner in Jerseyville, Illinois
NPI 1114250966

Tammie L Blevins is an Adult Health Nurse Practitioner based in Jerseyville, IL and is specialized in Adult Health. Tammie L Blevins practices in Jerseyville, IL and has the professional credentials of ANP. The NPI Number for Tammie L Blevins is 1114250966 and holds a License No. 209007631 (Illinois).

The current practice location address for Tammie L Blevins is 220 E County Rd, Jerseyville, IL and can be reached out via phone at 618-498-8467 and via fax at 618-639-2017.

Location: 220 E County Rd, Jerseyville, IL, 62052-2000
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Provider Profile Details
NPI Number
1114250966
Provider Name
Tammie L Blevins
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
220 E County Rd, Jerseyville, IL, 62052-2000
Phone Number
618-498-8467
Fax Number
618-639-2017
Provider Enumeration Date
09/11/2009
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12007750 01 IL CAQH ID
institution
Provider Business Practice Location Address Details
Address
220 E County Rd
City
State
Zip
62052-3125
Phone Number
618-498-8467
Fax Number
618-639-2017
person
Provider Business Mailing Address Details
Address
220 E County Rd
City
State
Zip
62052-3125
Phone Number
618-498-8467
Fax Number
618-639-2017
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209007631 (Illinois)
Definition
Definition to come...
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