Individual provider · Type 1 NPI
Jason Blake, PMHMP-BC
Psychiatric/Mental Health Nurse Practitioner · Cleveland, OH
NPI number
1083267348
Active
Practice location
10701 East Blvd
Cleveland, OH 44106-1702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN.CNP.024969 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1083267348
Jason Blake, PMHMP-BC's National Provider Identifier is 1083267348, issued on Jul 16, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cleveland, OH. The record was last updated on Jul 16, 2019.