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Mary Jo Blanton, FNP
Family Nurse Practitioner in Jackson, Tennessee
NPI 1497784466

Mary Jo Blanton is a Family Nurse Practitioner based in Jackson, TN and is specialized in Family. Mary Jo Blanton practices in Jackson, TN and has the professional credentials of FNP. The NPI Number for Mary Jo Blanton is 1497784466 and holds a License No. R858448 (Tennessee).

The current practice location address for Mary Jo Blanton is 36 Pemberton Cv, Jackson, TN and can be reached out via phone at 731-394-1145.

Location: 36 Pemberton Cv, Jackson, TN, 38305-5514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497784466
Provider Name
Mary Jo Blanton
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
36 Pemberton Cv, Jackson, TN, 38305-5514
Phone Number
731-394-1145
Fax Number
Provider Enumeration Date
07/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01674813 05 MS
institution
Provider Business Practice Location Address Details
Address
36 Pemberton Cv
City
Jackson
State
Tennessee
Zip
38305-5514
Phone Number
731-394-1145
Fax Number
person
Provider Business Mailing Address Details
Address
36 Pemberton Cv
City
Jackson
State
Tennessee
Zip
38305-5514
Phone Number
731-394-1145
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
20157 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R858448 (Mississippi)
Definition
Definition to come...
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