Individual provider · Type 1 NPI

Jennifer Lee Blake, APRN

Acute Care Nurse Practitioner · Manchester, CT

NPI number 1508643750 Active

Practice location

71 Haynes St
Manchester, CT 06040-4188

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X12319 (CT)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1508643750

Jennifer Lee Blake, APRN's National Provider Identifier is 1508643750, issued on Sep 12, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Manchester, CT. The record was last updated on May 29, 2026.