person
Dr. Jerry D Blaylock, MD
Mental Health Counselor in Jonesboro, Arkansas
NPI 1922038975

Jerry D Blaylock is a Mental Health Counselor based in Jonesboro, AR and is specialized in Mental Health. Jerry D Blaylock practices in Jonesboro, AR and has the professional credentials of MD. The NPI Number for Jerry D Blaylock is 1922038975 and holds a License No. C4264 (Arkansas).

The current practice location address for Jerry D Blaylock is 901 S Church St, Jonesboro, AR and can be reached out via phone at 870-935-0360 and via fax at 870-972-8603. You can also correspond with Jerry D Blaylock through the mailing address at 901 S CHURCH ST, JONESBORO, AR - 72401-4105 (mailing address contact number: 870-935-0360).

Location: 901 S Church St, Jonesboro, AR, 72401-4105
person
Provider Profile Details
NPI Number
1922038975
Provider Name
Jerry D Blaylock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
901 S Church St, Jonesboro, AR, 72401-4105
Phone Number
870-935-0360
Fax Number
870-972-8603
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101644001 05 AR
institution
Provider Business Practice Location Address Details
Address
901 S Church St
City
State
Zip
72401-4105
Phone Number
870-935-0360
Fax Number
870-972-8603
person
Provider Business Mailing Address Details
Address
901 S Church St
City
State
Zip
72401-4105
Phone Number
870-935-0360
Fax Number
870-972-8603
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C4264 (Arkansas)
Definition
Definition to come...
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