Active NPIIndividual provider

Janelle R Bludorn, PA-C

Physician Assistant in Chapel Hill, North Carolina

NPI Number1548578818
Practice location
101 Manning Dr, Chapel Hill, NC 27514-4220
Fax
—
Last updated
March 31, 2021

Janelle Ruth Bludorn is a Physician Assistant based in Chapel Hill, NC. Janelle Ruth Bludorn practices in Chapel Hill, NC and has the professional credentials of PA-C. The NPI Number for Janelle Ruth Bludorn is 1548578818 and holds a License No. PA21187 (CA). The current practice location address for Janelle Ruth Bludorn is 101 Manning Dr, Chapel Hill, NC 27514-4220 and can be reached out via phone at 919-966-5868.

Provider Profile Details

NPI Number
1548578818
Provider Name
Janelle Ruth Bludorn
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
101 Manning Dr, Chapel Hill, NC 27514-4220
Phone Number
919-966-5868
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2010
Last Update Date
March 31, 2021
Certification Date
March 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Manning Dr
Chapel Hill, NC 27514-4220
Zip
27514-4220
Phone Number
919-966-5868
Chapel Hill, NC 27514Get directions →

Provider Business Mailing Address Details

Address
321 S Columbia St # 7121
Chapel Hill, NC 27514-4309
City
Chapel Hill
State
NC
Zip
27514-4309
Phone Number
805-886-5021

License Information

License Number (1)
PA21187
License State (1)
CA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA4641
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
0010-06445
License State (3)
NC
Taxonomy (3)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Janelle R Bludorn, PA-C?

The NPI number of Janelle R Bludorn, PA-C is 1548578818. It was assigned on September 20, 2010 and is currently active in the NPPES registry.

What is the specialty of Janelle R Bludorn, PA-C?

Janelle R Bludorn, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CA under license number PA21187.

Where does Janelle R Bludorn, PA-C practice?

The practice location is 101 Manning Dr, Chapel Hill, NC 27514-4220. The office can be reached at 919-966-5868 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548578818 directly on the NPPES registry website.

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