Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELYN NIKOL BLAKE, LPN
ActiveMS. JACQUELYN NIKOL BLAKE, LPN is a Licensed Practical Nurse healthcare provider located in SAINT LOUIS, Missouri. NPI 1770058299 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1770058299
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2018 (7.8006702279714 yrs)
- Last Updated
- Oct 11, 2018
- License
-
055560 (MO)
Practice Information
- Address
-
5471 DR MARTIN LUTHER KING DRSAINT LOUIS, MO, 631124265Browse MO providers · Browse ZIP 63112
- Phone
- 3143675820
- Fax
- 3143677010
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MS. RENA IRONS | LPN | 1104827575 |
| MRS. SHARON ANN TATE | LPN | 1700888641 |
| MRS. VERNELL WHITE | LPN | 1326030958 |
| LACRESCHIA HAIRSTON | LPN | 1376660480 |
| MS. ERNESTINE PHELPS CHATMAN | L.P.N | 1699972208 |
| JERMAINE ORLANDO MATTHEW | LPN | 1427257997 |
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.