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

Jessica M Blalock

Individual provider Contractor · NPI 1215635420

Jessica M Blalock is a Contractor in Atlanta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

4918 Longcourt Trce SE
Atlanta, GA 30339-1698
Phone: (404) 290-2345
Show map & directions

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

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X
Contractor Taxonomy 171W00000X

Record details

NPI number1215635420
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 16, 2023
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

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