Provider Demographics
NPI:1750197927
Name:BLEVINS, DEBRA J
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:J
Last Name:BLEVINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 POLK ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1040
Mailing Address - Country:US
Mailing Address - Phone:283-210-3987
Mailing Address - Fax:838-806-1652
Practice Address - Street 1:312 POLK ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1040
Practice Address - Country:US
Practice Address - Phone:513-288-4860
Practice Address - Fax:838-806-1652
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN371429163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management