JACOB BENJAMIN BLOUNT


Address: 1224 Reynolds Dr, Charleston, IL 61920-2436
Phone: 2173179469

JACOB BENJAMIN BLOUNT (NPI# 1477018927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477018927
Entity Type Individual
Full Name JACOB BENJAMIN BLOUNT
Credential MSN, APRN, FNP-C
Practice Address 1224 Reynolds Dr
Charleston
IL 61920-2436
Practice Telephone 2173179469
Mailing Telephone 2173179469
Enumeration Date 2019-02-08
Last Update Date 2020-07-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WE0003X Registered Nurse
Specialization: Emergency
041.421877 IL Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.018171 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers JACOB BLOUNT

NPI Name Taxonomy Address Enumeration
1598127938 Jacob R Blount Hospitalist 12605 E 16th Ave, Aurora, CO 80045-2545 2016-03-24

Office Location

Street Address 1224 REYNOLDS DR
City CHARLESTON
State IL
Zip Code 61920-2436

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124643879 Jenna Kay Mortensen Speech-Language Pathologist 2086 7th Street, Charleston, IL 61920 2020-06-09
1255954566 Christina L. White Nurse Practitioner 1199 Persimmon Rd, Charleston, IL 61920 2020-05-20
1679066773 Jennifer Hess Specialist/Technologist 2506 Lantz Building, Charleston, IL 61920 2018-06-13
1134647969 Nichole C Ogilvie Student in an Organized Health Care Education/Training Program 917 4th Street Apt 19, Charleston, IL 61920 2017-08-31
1467970319 Marcus Roach Physical Therapy Assistant 912 Oakcrest Dr. Apt D, Charleston, IL 61920 2017-08-30
1114478500 5 Guys Rx II LLC Pharmacy 1 W Lincoln Ave, Charleston, IL 61920 2016-10-20
1649723206 Bright Minds Educational Program Inc Developmental Therapist 7704 Deerpath Road, Charleston, IL 61920 2016-08-01
1760843379 Lisa Price Nurse Practitioner 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 2016-03-09
1104243385 Nathan David Schwartzkopf Specialist/Technologist 1340 A Street, Charleston, IL 61920 2014-03-25
1558694349 Emily Schilling Specialist/Technologist 2350 Harrison Avenue, Charelston, IL 61920 2009-09-10
Find all providers in zip 61920

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417557737 Diondra Johnson Nurse Practitioner 2327 Watchtower Ln, Charleston, SC 29414-7803 2020-10-27
1427656735 Kisha Lanece James Nurse Practitioner 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 2020-10-09
1043822216 Amber Bagwell Nurse Practitioner 442 King St Fl 2, Charleston, SC 29403-6230 2020-08-19
1790396273 Amanda Jo Grant Nurse Practitioner 2207 Seneca Dr, Charleston, IL 61920-3836 2020-08-10
1811514961 Isabel Margarita Lemasters Nurse Practitioner 3226 Moonlight Dr, Charleston, SC 29414-8052 2020-07-05
1255954566 Christina L. White Nurse Practitioner 1199 Persimmon Rd, Charleston, IL 61920 2020-05-20
1770123929 Catherine A. Woods Nurse Practitioner 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 2020-01-15
1104464999 Brittany D Griffith Nurse Practitioner 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 2019-12-12
1437795747 Brigitte Britt Huttemeyer Nurse Practitioner 678 Castle Pinckney Dr, Charleston, SC 29412 2019-11-21
1124660774 Dennis Robert Moore Nurse Practitioner 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 2019-10-16
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 61920

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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