MEDICARE: MRS. JENNIFER SUZANNE BLANKENSHIP RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	103274	WV

General Provider Information

NPI Number	:	1134863947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER SUZANNE BLANKENSHIP RN

Provider Business Mailing Address
First Line	:	1908 GLENWOOD PARK RD
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24739-7969
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1908 GLENWOOD PARK RD
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24739-7969
Country	:	US
Telephone Number	:	304-323-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2022
Last Update Date	:	04/27/2022

Similar Medicare Providers

1922406602 — PRINCETON CENTER LLC
Practice Location Address:

1924 GLENWOOD PARK RD
PRINCETON, WV
24739-7969

Practice Phone: 304-425-8128
Practice Fax:

1437892486 — GERALD WAYNE HOLMES II
Practice Location Address:

1908 GLENWOOD PARK RD
PRINCETON, WV
24739-7969

Practice Phone: 304-323-2300
Practice Fax: 866-597-0956

1982347555 — MRS. CATHY LYNN DALTON RN
Practice Location Address:

1908 GLENWOOD PARK RD
PRINCETON, WV
24739-7969

Practice Phone: 304-323-2300
Practice Fax: 866-597-0956

1548904121 — MRS. TINA RANAE GRAHAM PTA
Practice Location Address:

1908 GLENWOOD PARK RD
PRINCETON, WV
24739-7969

Practice Phone: 304-323-2300
Practice Fax:

1174267751 — CODY BLAKE DILLON PTA
Practice Location Address:

1908 GLENWOOD PARK RD
PRINCETON, WV
24739-7969

Practice Phone: 304-323-2300
Practice Fax:

1427797679 — GLENWOOD PARK LEASING CO., LLC
Practice Location Address:

1924 GLENWOOD PARK RD
PRINCETON, WV
24739-7969

Practice Phone: 304-425-8128
Practice Fax:

Directions to “ MRS. JENNIFER SUZANNE BLANKENSHIP RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.