Healthcare Provider Details

I. General information

NPI: 1659051738
Provider Name (Legal Business Name): MELINDA BLANKENSHIP APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

474 SKYVIEW DR
LEWIS CENTER OH
43035-9751
US

IV. Provider business mailing address

474 SKYVIEW DR
LEWIS CENTER OH
43035-9751
US

V. Phone/Fax

Practice location:
  • Phone: 614-537-7910
  • Fax:
Mailing address:
  • Phone: 614-537-7910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN.CNP.0034382
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: