Search › Arkansas › 363L00000X
Jo Blasengame, AGACNP-BC
NPI 1356005250 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1609 W 40th Ave Ste 205
Pine Bluff, AR 71603 - Phone
- (870) 541-7211
- Organisation at this address
- John O Lytle Md Pa
Lisa A Bearden Md Pa
Lee A Forestiere Md Pa
Torrance A Walker Md Pa
James Alan Pollard Md PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 41
Additional practice sites
- 2894 Autumn Hills Rd, Star City, AR
- 4310 S Mulberry St, Pine Bluff, AR
- 1609 W 40th Ave Ste 111, Pine Bluff, AR
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2100X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-27
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 Arkansas