Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY D BLAYLOCK, M.D.
Active Sole ProprietorMental Health Counselor · JONESBORO, AR
Registration Details
- NPI Number
- 1922038975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2006 (19.799017392575 yrs)
- Last Updated
- Sep 22, 2011
- License
-
C4264 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
901 S CHURCH STJONESBORO, AR, 724014105Browse AR providers · Browse ZIP 72401
- Phone
- 8709350360
- Fax
- 8709728603
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in JONESBORO, AR
| Name | Credential | NPI |
|---|---|---|
| MR. STANFORD J GRAY | LCSW | 1528002078 |
| DR. HERBERT H PRICE III | M.D. | 1194755165 |
| MR. EDWARD LOUIS LEFEBVRE | LCSW | 1508975780 |
| MIKE PATTERSON | LPC | 1720199177 |
| STEVEN W CURRY | LPC | 1932211521 |
| JENNIFER ANN RUSHING | LPE-I | 1811050446 |
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.