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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA ANN BANET BLAKE, FNP-C

Active

JESSICA ANN BANET BLAKE, FNP-C is a Nurse Practitioner healthcare provider located in LOUISVILLE, Kentucky. NPI 1033394226 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · LOUISVILLE, KY

Registration Details

NPI Number
1033394226
Provider Type
Individual
Gender
Female
NPI Issued
Jan 7, 2008 (18.414205055753 yrs)
Last Updated
Apr 10, 2018
Licenses
71002575A (IN)
3005563 (KY)
3005563 (KY)

Practice Information

Address
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY, 402021886
Browse KY providers · Browse ZIP 40202
Phone
5023673360
Fax
5023673365
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in LOUISVILLE, KY

Name Credential NPI
LEAH D PHILLIPS-BLACK A.R.N.P. 1609879162
MRS. RHONDA W. HOWARD APRN. 1124022496
MRS. MARY B BECKER APRN 1952305807
MRS. PATRICIA C MADER A.R.N.P. 1285639005
RITA HARRISON ARNP 1083610745
LORA WELCH ARNP, FNP-C 1679579379
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.