KOREN JOELLE BLANKLEY

ST VINCENT MEDICAL GROUP INC

Dr KOREN JOELLE BLANKLEY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

ST VINCENT MEDICAL GROUP INC

409 E GREEENVILLE AVE
WINCHESTER
IN
473949436

Tel: 7655840480

KOREN JOELLE BLANKLEY Information

Npi 1275982613
Pac Id 2769775303
Professional Enrollment Id I20160720000879
Last Name BLANKLEY
First Name KOREN
Middle Name JOELLE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST VINCENT MEDICAL GROUP INC
Group Practice Pac Id 7012047640
Number Of Group Practice Members 705
Line 1 Street Address 409 E GREEENVILLE AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WINCHESTER
State IN
Zip Code 473949436
Phone Number 7655840480
Hospital Affiliation Ccn 1 151301
Hospital Affiliation Lbn 1 ST VINCENT RANDOLPH HOSPITAL INC
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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