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Jessica Blackman
NPI 1154724045 · on the registry since 2014
Practice
- Address
- 734 W 19th St
Casper, WY 82601 - Phone
- (307) 267-5549
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 224Z00000X
225X00000X - Licence states on file
- WY, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming