Provider Demographics
NPI:1073400941
Name:BLOINK, JEANETTE JOY (RN)
Entity type:Individual
Prefix:MRS
First Name:JEANETTE
Middle Name:JOY
Last Name:BLOINK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-1897
Mailing Address - Country:US
Mailing Address - Phone:810-300-5338
Mailing Address - Fax:
Practice Address - Street 1:2915 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-1897
Practice Address - Country:US
Practice Address - Phone:810-300-5338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704249845163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health