Mr. JACOB ELISHA RAY BLEVINS PMHNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1275482333- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PMHNP
- Status
- Active
Contact & Location
- Address
- 101 ORCHARD DR, NICHOLASVILLE, KY, 403562690
- Phone
- (859) 881-4288
- Fax
- (859) 881-4388
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary License: KY #4052853