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

JESSICA BLAKE

Active

JESSICA BLAKE is a Nurse Practitioner healthcare provider located in STANLEY, Kansas. NPI 1477955755 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · STANLEY, KS

Registration Details

NPI Number
1477955755
Provider Type
Individual
Gender
Female
NPI Issued
Sep 18, 2014 (11.891069063597 yrs)
Last Updated
Jul 25, 2018
Licenses
109445 (KS)
53-76586 (KS)

Practice Information

Address
15101 GLENWOOD AVE
STANLEY, KS, 66223
Browse KS providers · Browse ZIP 66223
Phone
9136818866
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in STANLEY, KS

Name Credential NPI
BROOKE NICOLE MCGUIRE NP 1780952127
MADELINE HOWELL FNP/ENP 1659065373
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.