Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA CAROLE BLAKE, FNP
ActiveJESSICA CAROLE BLAKE, FNP is a Nurse Practitioner healthcare provider located in NEWBERRY, South Carolina. NPI 1760154447 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · NEWBERRY, SC
Registration Details
- NPI Number
- 1760154447
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2021 (4.8595721902413 yrs)
- Last Updated
- Jan 7, 2025
- Licenses
-
25430 (SC)25430 (SC)25430 (SC)
Practice Information
- Address
-
1410 WILSON RDNEWBERRY, SC, 291083050Browse SC providers · Browse ZIP 29108
- Phone
- 8032762186
- Fax
- 8032762630
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- 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.