Jessica D Blanke, PA
Jessica D Blanke, PA is a Surgical Physician Assistant in O Fallon, Missouri. Licensed in Missouri. Registered with an NPI since 2016.
- Licensed in
- MO
- In the registry since
- 2016
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
7827 Hwy N Ste 104O Fallon, MO 63368-6704
Phone: (636) 377-1177
Fax: (636) 377-1911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 168548 (MO) |
|---|
Record details
| NPI number | 1235687757 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | September 13, 2016 |
| Last updated in NPPES | September 14, 2016 |
| Mailing address | 7827 Highway N Ste 104, O Fallon, MO 63368-6704 |
Other providers in O Fallon
-
Michael Edwin Farrell, CSA
2425 Sansonnet Ln, O Fallon, MO 63368-3597 · (501) 658-6186
-
James W Harris, CSFA
7827 Town Square Ave Ste 104, O Fallon, MO 63368-7199 · (636) 734-0386
-
Julie Hummel
7827 Town Square Ave Ste 104, O Fallon, MO 63368-7199 · (636) 734-0386
-
Miss. Michelle L Powell
7827 Town Square Ave Ste 104, O Fallon, MO 63368-6704 · (636) 734-0386