Individual provider · Type 1 NPI

Penny Blake, APRN

Family Nurse Practitioner · Henderson, TX

NPI number 1215489935 Active

Practice location

1600 US Highway 79 S
Henderson, TX 75654-4508

Mailing address

PO Box 1022
Waynesboro, TN 38485-1022

Other practice locations

  • 1107 E Marshall Ave, Longview, TX 75601-5602 · (903) 758-2610
  • 703 E Marshall Ave Ste 4008, Longview, TX 75601-5622 · (903) 315-2729

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP132551 (TX)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1215489935

Penny Blake, APRN's National Provider Identifier is 1215489935, issued on Oct 28, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Henderson, TX. The record was last updated on Aug 7, 2024.