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

OPAL MULLINGS BLAKE, NP-C

Active

OPAL MULLINGS BLAKE, NP-C is a Nurse Practitioner healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1043629140 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · LAWRENCEVILLE, GA

Registration Details

NPI Number
1043629140
Provider Type
Individual
Gender
Female
NPI Issued
Aug 4, 2014 (12.019741493784 yrs)
Last Updated
Jan 4, 2016
Licenses
RN 199200 (GA)
RN199200 (GA)

Practice Information

Address
631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA, 300463370
Browse GA providers · Browse ZIP 30046
Phone
7709950630
Fax
7709951555
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in LAWRENCEVILLE, GA

Name Credential NPI
MONICA BERTRAM FNP-C 1154317949
JANET WHALEY ARNP 1134118383
HYACINTH THOMAS FNP-C 1164402343
RICHARD CLARK YARNALL APRN, BC 1801845482
KATHERINE RENEE WILSON NP 1386672723
JOY MANRY STEVENS NP 1386667921
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.