NPI 1184048332 · live from the CMS NPI Registry
Jessica Louise Blazka, PA
Physician Assistant in Manchester, NH. National Provider Identifier 1184048332, active.
NPI record
| NPI | 1184048332 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 87 Mcgregor St Ste 3100, Manchester, NH 03102 |
| Practice phone | 603-627-1887 |
| Mailing address | Po Box 706, Plymouth, NH 03264 |
| Enumerated | February 8, 2014 |
| Last updated | April 9, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 0996 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.