Individual provider · Type 1 NPI
Mandy Sherman Blake, PNP
Pediatric Nurse Practitioner · Salisbury, NC
NPI number
1114359726
Active
Practice location
129 Woodson St
Salisbury, NC 28144-3255
Fax (704) 216-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5006329 (NC) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 5006329 (NC) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1114359726
Mandy Sherman Blake, PNP's National Provider Identifier is 1114359726, issued on Aug 6, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Salisbury, NC. The record was last updated on Oct 7, 2026.