Individual provider · Type 1 NPI

Blake Andrew Nizinski, PA-C

Physician Assistant · Fort Campbell, KY

NPI number 1255267548 Active

Practice location

5662 Screaming Eagle Blvd
Fort Campbell, KY 42223-5403

Call (270) 798-7111 Map

Mailing address

23 Cameltown Hill Rd
Danville, PA 17821-9589

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255267548

Blake Andrew Nizinski, PA-C's National Provider Identifier is 1255267548, issued on Jun 23, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Campbell, KY. The record was last updated on Jun 23, 2026.