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

BLAKE REVLETT

Active

BLAKE REVLETT is a Physician Assistant healthcare provider located in MURFREESBORO, Tennessee. NPI 1346955168 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MURFREESBORO, TN

Registration Details

NPI Number
1346955168
Provider Type
Individual
Gender
Male
NPI Issued
Jan 16, 2023 (3.5601379332673 yrs)
Last Updated
Jan 16, 2023
License
PA0000005269 (TN)

Practice Information

Address
1508 CARL ADAMS DR UNIT 200
MURFREESBORO, TN, 371294375
Browse TN providers · Browse ZIP 37129
Phone
6158934896
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MURFREESBORO, TN

Name Credential NPI
MR. KURT MICHAEL KNOLL PA-C 1518951656
CRAIG EDWARD DEAN PA C 1386639383
MR. JOSEPH C. WRIGHT PA-C 1407842305
MS. RONDA J. KOPRA PA-C, M.S.M. 1891781670
MR. CLAYTON DANIEL CARROLL PAC 1255321048
STEPHEN J MOULD PA-C 1548247885
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.