Individual provider · Type 1 NPI
Jessica Blake
Nurse Practitioner · Stanley, KS
Practice location
15101 Glenwood Ave
Stanley, KS 66223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 109445 (KS) |
| Nurse Practitioner Primary | 363L00000X | 53-76586 (KS) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1477955755
Jessica Blake's National Provider Identifier is 1477955755, issued on Sep 18, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stanley, KS. The record was last updated on Jul 25, 2018.