person
Jeanne Blakeslee, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Southlake, Texas
NPI 1265907414

Jeanne Blakeslee is a Psychiatric/Mental Health Nurse Practitioner based in Georgetown, TX and is specialized in Psychiatric/Mental Health. Jeanne Blakeslee practices in Southlake, TX and has the professional credentials of PMHNP. The NPI Number for Jeanne Blakeslee is 1265907414 and holds a License No. 577068 (Texas).

The current practice location address for Jeanne Blakeslee is 1100 E Southlake Blvd Ste 300, Southlake, TX and can be reached out via phone at 178-873-0595 and via fax at 817-873-0596.

Location: 1100 E Southlake Blvd Ste 300, Southlake, TX, 78626-8209
person
Provider Profile Details
NPI Number
1265907414
Provider Name
Jeanne Blakeslee
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1100 E Southlake Blvd Ste 300, Southlake, TX, 78626-8209
Phone Number
178-873-0595
Fax Number
817-873-0596
Provider Enumeration Date
10/03/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP139257 01 TX APRN
institution
Provider Business Practice Location Address Details
Address
1100 E Southlake Blvd Ste 300
City
State
Zip
76092-6350
Phone Number
178-873-0595
Fax Number
817-873-0596
person
Provider Business Mailing Address Details
Address
1100 E Southlake Blvd Ste 300
City
State
Zip
76092-6350
Phone Number
178-873-0595
Fax Number
817-873-0596
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
577068 (Texas)
Definition
Definition to come...
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