Provider Demographics
NPI:1699488403
Name:BLANTON, JAMES SCOTT
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:SCOTT
Last Name:BLANTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3298 FORT LINCOLN DR NE APT 102
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-4301
Mailing Address - Country:US
Mailing Address - Phone:202-221-0237
Mailing Address - Fax:
Practice Address - Street 1:3298 FORT LINCOLN DR NE APT 728
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-4328
Practice Address - Country:US
Practice Address - Phone:202-790-4753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide