Jessica Danielle Blust, LPN
Individual provider Active NPI Licensed Practical Nurse · Villa Hills, KY
NPI 1265866701 · NPPES record last updated Mar 31, 2016
Key facts
- NPI
- 1265866701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN.138705-M-IV (OH)
- Practice address
- 907 Kenridge Dr
Villa Hills, KY 41017 - Phone
- (513) 237-8283
- NPI assigned
- Aug 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2046175 | KY | MD | Licensed Practical Nurse |
| PN.138705-M-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.138705-M-IV | OH | Yes |
| Licensed Practical Nurse | 164W00000X | 2046175 | KY |
Addresses
Primary practice location
907 Kenridge Dr
Villa Hills, KY 41017
Mailing address
907 Kenridge St
Villa Hills, KY 41017-1155
Phone (513) 237-8283
Other providers in Villa Hills, KY
- Melissa Applegate
- Aileen J Bankemper
- Alexis Benson
- CHI Living Communities
- James Donovan
- Michelle Ann Fessler
- Cole Frederick Goodridge
- Ashley Lynn Hensley
All providers in Villa Hills, KY · Licensed Practical Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.