Jacob Blasingame, PA-C

Physician Assistant · Monticello, IL

Individual Active NPI

NPI number 1720619232

Practice location

1000 Medical Center Dr
Monticello, IL 61856-2116
Phone
(217) 762-6241
Fax
(217) 762-1702

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NPI record

NPI
1720619232
Entity type
Individual (Type 1)
Enumeration date
February 3, 2020
Last updated
December 13, 2024
Certified
December 13, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085007530 IL

About Jacob Blasingame

Jacob Blasingame, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1000 Medical Center Dr, Monticello, IL 61856-2116. The NPI number 1720619232 was assigned on February 3, 2020 and the record was last updated on December 13, 2024.

Jacob Blasingame lists a license in the registry: #085007530 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Blasingame, PA-C?

The NPI number is 1720619232.

What is the phone number of Jacob Blasingame?

The phone number listed for the practice location is (217) 762-6241.

Where is Jacob Blasingame located?

1000 Medical Center Dr, Monticello, IL 61856-2116.

What is the taxonomy code for Jacob Blasingame?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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