Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA BLAIR, PNP
ActiveJESSICA BLAIR, PNP is a Pediatric Nurse Practitioner healthcare provider located in LADERA RANCH, California. NPI 1790167328 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · LADERA RANCH, CA
Registration Details
- NPI Number
- 1790167328
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2015 (11.115308513301 yrs)
- Last Updated
- Jun 4, 2025
- License
-
95007023 (CA)
Practice Information
- Address
-
333 CORPORATE DR STE 200LADERA RANCH, CA, 926942179Browse CA providers · Browse ZIP 92694
- Phone
- 9493477200
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
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.