Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA PUCKETT BLAKE, CNM
ActiveAMANDA PUCKETT BLAKE, CNM is a Midwife healthcare provider located in AUSTELL, Georgia. NPI 1144053596 is currently active in the NPPES registry. Verify at CMS.
Midwife · AUSTELL, GA
Registration Details
- NPI Number
- 1144053596
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2024 (1.7946685113194 yrs)
- Last Updated
- Aug 21, 2024
- License
-
RN173764 (GA)
Practice Information
- Address
-
1791 MULKEY RD STE 200AUSTELL, GA, 301061124Browse GA providers · Browse ZIP 30106
- Phone
- 7707325400
- Primary Specialty
-
Midwife
176B00000X
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.