| Jacquelyn R Blandford, APRN | |
|
101 Winston Way, Campbellsville, KY 42718-4962 | |
| (270) 465-9400 | |
| (270) 469-4893 |
| Full Name | Jacquelyn R Blandford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 101 Winston Way, Campbellsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285452755 | NPI | - | NPPES |
| 16334812 | Other | KY | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1150702 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4028681 (Kentucky) | Primary |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn R Blandford, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Jacquelyn R Blandford, APRN 101 Winston Way, Campbellsville, KY 42718-4962 Ph: (270) 465-9400 |
Ashlie Marie Judd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-789-6166 Fax: 270-789-6198 | |
Maci Mcqueary, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Hotchkiss St, Campbellsville, KY 42718 Phone: 270-465-0191 Fax: 270-465-0463 | |
Samantha Shipp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-789-5794 | |
Dorothy Marie Dudley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-789-2788 Fax: 502-368-9820 | |
Jason Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-465-3595 | |
Jessica Nicole Browning, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1698 Old Lebanon Rd Ste 2a, Campbellsville, KY 42718 Phone: 270-789-0359 Fax: 270-789-1756 | |
Amanda Lauren Mattingly, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Winston Way, Campbellsville, KY 42718 Phone: 270-789-0034 |