Jessica Blair, PA

NPI #1497267207 in Peoria, Illinois

Provider Information

NPI Number: 1497267207
Entity Type: Individual
Name: Jessica Blair, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 2, 2017
Last Updated: Nov 2, 2017

Practice Location

Address: 8600 STATE ROUTE 91 STE 130
City: Peoria
State: Illinois
ZIP Code: 61615-7829
Phone: (309) 683-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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