Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Dawn Blalock

Individual provider Emergency Medicine Physician · NPI 1114705472

Jessica Dawn Blalock is an Emergency Medicine Physician in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2023.

Licensed in
OK
In the registry since
2023
Specialties on file
2

Practice location Address checks out

4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone: (405) 636-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 9763 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114705472
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing address4401 S Western Ave, Oklahoma City, OK 73109-3413

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