National Provider Identifier
Jacob Thomas Blanc
Jacob Thomas Blanc is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 355-1741.
Profile Overview
- NPI
- 1982220117
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 23, 2020
- Last Updated
- June 23, 2020
Practice Location
- 322 Wendhurst Dr
- Rochester, NY 14616-3647
Phone: (585) 355-1741
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1982220117
- Entity Type
- Individual
- Last Name
- Blanc
- First Name
- Jacob
- Middle Name
- Thomas
- Mailing Street Address
- 322 Wendhurst Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616-3647
- Mailing Country
- US
- Practice Street Address
- 322 Wendhurst Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-3647
- Practice Country
- US
- Practice Phone
- (585) 355-1741
- Enumeration Date
- June 23, 2020
- Last Updated
- June 23, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- June 23, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)