Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLINTON JED BLAINE, P.A.
ActiveCLINTON JED BLAINE, P.A. is a Physician Assistant healthcare provider located in HUNTINGDON, Tennessee. NPI 1558340844 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HUNTINGDON, TN
Registration Details
- NPI Number
- 1558340844
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2006 (20.580988370307 yrs)
- Last Updated
- Feb 16, 2022
- Licenses
-
PA161186 (OR)PA892 (TN)
Practice Information
- Address
-
3500 PURDY RDHUNTINGDON, TN, 383448050Browse TN providers · Browse ZIP 38344
- Phone
- 7319862536
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in HUNTINGDON, TN
| Name | Credential | NPI |
|---|---|---|
| GARY CHRISTOPHER BLOUNT | PA | 1316941040 |
| MR. PAUL EVERETT BRINKMAN | PA-C | 1235161431 |
| HOLLY LEIGH-ANN HEATH | P.A.-C | 1649419292 |
| MRS. DANNA SMITH CASTLEMAN | PA-C | 1912261868 |
| TYLER S WARBRITTON | PA-C | 1306498068 |
| ASHLEIGH NICHOLE BULLOCK | PA-C | 1477352904 |
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.