Individual provider · Type 1 NPI
Janice Blake, PMHNP
Psychiatric/Mental Health Nurse Practitioner · South Glastonbury, CT
NPI number
1548822000
Active
Practice location
181 Thompson St
South Glastonbury, CT 06073-2919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 8329 (CT) |
| Pediatric Nurse Practitioner | 363LP0200X | 8329 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 8329 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1548822000
Janice Blake, PMHNP's National Provider Identifier is 1548822000, issued on Jul 5, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in South Glastonbury, CT. The record was last updated on Jun 15, 2021.