| Doctor Name: | MR. JAMES KELLEY BLANKENSHIP |
| NPI Number: | 1639536618 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | AP08604 |
| Business Practice Address: | 405 Milton Rd Maurice, LA - 705554458 |
| Business Phone Number: | 3378934449 |
| Business Fax Number: | |
| Mailing Address: | 606 Dodson St, NEW IBERIA |
| State: | LA |
| Postal Code: | 705631826 |
| Phone Number: | 3372511079 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2016 |
| NPI Last Update Date: | 01/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP08604 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |