Most Relevant Information
Provider Data
| NPI Number: | 1003389313 |
| Provider Name: | JANILLE ANN BLAYLOCK APRN, NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN.CNP.024141 |
Most Important Dates
| Enumeration Date: | 01/09/2019 |
| Last Updated: | 10/11/2024 |
Provider Practice Location
2702 NAVARRE AVE STE 320
OREGON
OH
436163224
Practice Location Phone/Fax
| Phone: | 4196965555 |
| Fax: |
Provider Mailing Location
2200 JEFFERSON AVE FL 5
TOLEDO
OH
436047102
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |