Individual provider · Type 1 NPI

Jill Blake, LPN

Licensed Practical Nurse · University Park, PA

NPI number 1407240435 Active

Practice location

502 Student Health Ctr
University Park, PA 16802-2129

Call (814) 865-6555 Map

Fax (814) 863-8464

Mailing address

502 Student Health Center, Penn State University
University Park, PA 16802

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	PN255327L (PA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1407240435

Jill Blake, LPN's National Provider Identifier is 1407240435, issued on Mar 27, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in University Park, PA. The record was last updated on Mar 27, 2015.