Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JANICE BLAKE, PMHNP
ActiveJANICE BLAKE, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in S GLASTONBURY, Connecticut. NPI 1548822000 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · S GLASTONBURY, CT
Registration Details
- NPI Number
- 1548822000
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2019 (7.0699280214766 yrs)
- Last Updated
- Jun 15, 2021
- Licenses
-
8329 (CT)8329 (CT)8329 (CT)
Practice Information
- Address
-
181 THOMPSON STS GLASTONBURY, CT, 060732919Browse CT providers · Browse ZIP 06073
- Phone
- 8602667826
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Pediatric Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
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.