Provider Demographics
NPI:1801334750
Name:BLUMIN, JESSICA LEAH (CNM)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:LEAH
Last Name:BLUMIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:106 IRVING ST NW STE 4400
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2973
Mailing Address - Country:US
Mailing Address - Phone:202-877-2303
Mailing Address - Fax:
Practice Address - Street 1:106 IRVING ST NW STE 4400
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2973
Practice Address - Country:US
Practice Address - Phone:202-877-2303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-10
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1026962367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife