Individual provider · Type 1 NPI
Stacey Kathleen Blake, APRN, FNP-C
Family Nurse Practitioner · Naples, FL
NPI number
1609279082
Active
Practice location
1250 Pine Ridge Rd Ste 101B
Naples, FL 34108-8913
Mailing address
2201 Regency Rd, Suite 501
Lexington, KY 40503-2335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 3008973 (KY) |
| Family Nurse Practitioner | 363LF0000X | 3008973 (KY) |
| Family Nurse Practitioner Primary | 363LF0000X | 9467859 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1609279082
Stacey Kathleen Blake, APRN, FNP-C's National Provider Identifier is 1609279082, issued on Sep 30, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Naples, FL. The record was last updated on Dec 3, 2019.