Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE JASMINE BLANK, PA-C
ActiveKELLIE JASMINE BLANK, PA-C is a Physician Assistant healthcare provider located in WYANDOTTE, Michigan. NPI 1659989630 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WYANDOTTE, MI
Registration Details
- NPI Number
- 1659989630
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2020 (6.0636758228625 yrs)
- Last Updated
- Sep 22, 2025
- License
-
5601011698 (MI)
Practice Information
- Address
-
2333 BIDDLE AVEWYANDOTTE, MI, 481924668Browse MI providers · Browse ZIP 48192
- Phone
- 7342466000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WYANDOTTE, MI
| Name | Credential | NPI |
|---|---|---|
| JESSICA J HOKE | PA | 1285679035 |
| LEON R DEMERS | PA | 1598700973 |
| NANCY M CAMPBELL | PA | 1134155054 |
| MS. LISA MARIE BOUCHER | PA-C | 1679709463 |
| DARREN ROCKEY | — | 1235361361 |
| PETER ANDREW SHANNON | P.A. | 1891081626 |
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.