Jennifer Blaylock, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP131058 Issued in TX

Practice address

3591 McKinney St Ste 100
Melissa, TX 75454-9572

Phone

(972) 468-9999

Fax

(972) 981-3600

NPI assigned

May 10, 2010

Last updated

Sep 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.blaylock.1@32456.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doctors Express of the Beaumont Area PA

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  • NPI 1841525235
  Medicare reassignment NPD
• Questcare Medical Clinics PLLC

  • Family Medicine Physician
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  • NPI 1821430166
  Medicare reassignment NPD
• Questcare Medical Clinics PLLC

  • Family Medicine Physician
  • Coppell, TX
  • NPI 1336572759
  NPD
• Questcare Medical Clinics PLLC

  • Family Medicine Physician
  • Mansfield, TX
  • NPI 1710329040
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1235457631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 MCKINNEY ST STE 100",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549572",
            "telephone_number": "972-468-9999",
            "fax_number": "972-981-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 MCKINNEY ST STE 100",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549572",
            "telephone_number": "972-468-9999",
            "fax_number": "972-981-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAYLOCK",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-008242",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131058",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "898686",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041353149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Bennett
• Pamela Joyce Berner, DPT, PT
• Kevin Bierle
• Twillia Marie Birks
• Kolbee Leann Blackmon, M.S., CCC-SLP
• Blessed Hands Senior Home Care LLC (Blessed hands senior Home care)
• Michele Renee Blum, FNP-C
• Boal LLC
• James Asuma Bogonko
• Joseph Borowski

• Family Nurse Practitioner in Melissa, TX
• Providers in Melissa, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.