Individual provider · Type 1 NPI
Shennoa Rachelle Blake, RN
Psychiatric/Mental Health Nurse Practitioner · Towson, MD
NPI number
1386406189
Active
Practice location
849 Fairmont Ave, Suite 200
Towson, MD 21286
Mailing address
2001 W Cold Spring Ln Apt 231
Baltimore, MD 21209-1475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R202334 (MD) |
| Registered Nurse | 163W00000X | R202334 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1386406189
Shennoa Rachelle Blake, RN's National Provider Identifier is 1386406189, issued on Jan 26, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Towson, MD. The record was last updated on Jun 22, 2026.