Jennifer Blaylock, NP
Individual provider Active NPI Family Nurse Practitioner · Melissa, TX
NPI 1235457631 · NPPES record last updated Aug 23, 2026
Key facts
- NPI
- 1235457631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP131058 (TX)
- Practice address
- 3591 McKinney St Ste 100
Melissa, TX 75454-9572 - Phone
- (469) 468-9999
- Fax
- (972) 981-3600
- NPI assigned
- May 10, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161021001145 | TX | Practitioner - Nurse Practitioner | 8729277710 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041353149 | IL | MD | Registered Nurse |
| 898686 | TX | MD | Registered Nurse |
| 209-008242 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Express of the Beaumont Area PA | Current |
Accepting new patients | |
| Questcare Medical Clinics PLLC | Current |
Accepting new patients | |
| Questcare Medical Clinics PLLC | Current |
Accepting new patients | |
| Questcare Medical Clinics PLLC | Past | Accepting new patients |
Locations
325 Central Expy S
Allen, TX 75013
Phone (214) 785-7246
8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354
3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888
1571 SW Wilshire Blvd
Ste 500
Burleson, TX 76028
Phone (817) 295-1121
3414 Milton Ave
Dallas, TX 75205
Phone (214) 368-4822
12200 Park Central Dr
Ste 100
Dallas, TX 75251
Phone (469) 804-8323
6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890
8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980
3591 McKinney St
Ste 100
Melissa, TX 75454
Phone (972) 837-1075
2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922
Interoperability endpoints
- jennifer.blaylock.1@32456.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209-008242 | IL | |
| Family Nurse Practitioner | 363LF0000X | AP131058 | TX | Yes |
| Registered Nurse | 163W00000X | 898686 | TX | |
| Registered Nurse | 163W00000X | 041353149 | IL |
Addresses
Primary practice location
3591 McKinney St Ste 100
Melissa, TX 75454-9572
Mailing address
3591 McKinney St Ste 100
Melissa, TX 75454-9572
Phone (972) 837-1075
Other practice location 1
1701 E College Ave
Bloomington, IL 61704-2101
Phone (309) 664-3000
Other providers in Melissa, TX
- Angela Bennett
- Pamela Joyce Berner
- Kevin Bierle
- Twillia Marie Birks
- Kolbee Leann Blackmon
- Blessed Hands Senior Home Care LLC
- Michele Renee Blum
- Boal LLC
- James Asuma Bogonko
- Joseph Borowski
All providers in Melissa, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.