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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREK BLANKENSHIP, PA-C

Active

DEREK BLANKENSHIP, PA-C is a Physician Assistant healthcare provider located in JACKSON, Tennessee. NPI 1194106690 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JACKSON, TN

Registration Details

NPI Number
1194106690
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2015 (11.217083165841 yrs)
Last Updated
Oct 5, 2015
License
2793 (TN)

Practice Information

Address
620 SKYLINE DR
JACKSON, TN, 383013923
Browse TN providers · Browse ZIP 38301
Phone
7315416180
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in JACKSON, TN

Name Credential NPI
LINDA DENISE PEERY PA-C 1487600193
JOHN M HOWARD PA 1619905858
ANDREA TOMASEK GRIMBALL PA-C 1427144997
MRS. ALLISON LAYNE SHAMBLIN P.A. 1568642692
MR. DALE R LINDSEY P.A. 1952621146
MR. BILLY ZACHARY JOHNSON PA-C 1558659599
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.