MS. JUDITH M BLICKENSTAFF FNP
NPI 1750460416
Nurse Practitioner in Medford, OR

Q: What is Judith Blickenstaff's NPI number?

The NPI number for Judith Blickenstaff is 1750460416. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Judith Blickenstaff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since November 03, 2006

2825 EAST BARNETT RD, MEDFORD, OR 97504(541) 789-7000(541) 774-7954 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Judith M Blickenstaff Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JUDITH M BLICKENSTAFF FNP (NPI 1750460416) is an individual nurse practitioner in Medford, Oregon, licensed in Oregon (079043756NI) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1750460416

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. JUDITH M BLICKENSTAFFCredential: FNP

Location Address2825 EAST BARNETT RDMedford, OR 97504-8332

Mailing AddressPo Box 4749Medford, OR 97501-0227 · (541) 789-5516 · Fax (541) 789-5518

Phone(541) 789-7000

Fax(541) 774-7954

Sole ProprietorNo

Enumeration DateNovember 3, 2006

Last NPPES UpdateJuly 9, 2015

✔ NPI 1750460416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OR · 079043756NI

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 079043756N1 (OR)

2825 EAST BARNETT RD, Medford, OR 97504

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Other Identifiers 2

Medicaid034681OR

Medicare UPINQ63345

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES MICHAEL JUAREZ MD

Emergency Medicine