NPI 1235405671 · live from the CMS NPI Registry
Jamie Yahya Blankenship, DO
Family Medicine in Princeton, WV. National Provider Identifier 1235405671, active.
NPI record
| NPI | 1235405671 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 904 Harrison St, Princeton, WV 24740 |
| Practice phone | 304-431-7100 |
| Mailing address | 252 Rural Acres Dr, Beckley, WV 25801 |
| Enumerated | March 29, 2012 |
| Last updated | January 12, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine primary | 207Q00000X | 2777 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.