JORDAN TYLER BLEVINS FNP-C NPI 1487175436

NPI Information

NPI: 1487175436
Provider Name: JORDAN TYLER BLEVINS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
415 MORRIS ST STE 400
CHARLESTON, WV
ZIP 25301
Phone: (304) 344-3551
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Jordan Tyler Blevins, FNP-C is a family nurse practitioner in Charleston, WV with 7 years of experience. Jordan Tyler Blevins, FNP-C NPI is 1487175436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduation Year:2017

The provider's business location address is:

415 MORRIS ST STE 400
CHARLESTON, WV
ZIP 25301-854
Phone: (304) 344-3551
Fax: (304) 342-6927

The NPI 1487175436 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APRN86857-NP-C	WEST VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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