| Doctor Name: | MARY B BLANKENSHIP |
| NPI Number: | 1043272404 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | NP06557 |
| Business Practice Address: | 13804 State Route 141 Kitts Hill, OH - 456458848 |
| Business Phone Number: | 7406432082 |
| Business Fax Number: | 7406432126 |
| Mailing Address: | 305 N 5th St, IRONTON |
| State: | OH |
| Postal Code: | 456381578 |
| Phone Number: | 7405324858 |
| Fax Number: | 7405324859 |
| NPI Enumeration Date: | 04/03/2006 |
| NPI Last Update Date: | 11/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP06557 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |