Individual provider · Type 1 NPI
Johannah Blake, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Tucson, AZ
NPI number
1609426261
Active
Practice location
2919 E Broadway Blvd # 205
Tucson, AZ 85716-5301
Fax (520) 842-8765
Mailing address
975 N Silverbell Rd Unit 85194
Tucson, AZ 85754-4009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 229492 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1609426261
Johannah Blake, PMHNP-BC's National Provider Identifier is 1609426261, issued on Sep 16, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tucson, AZ. The record was last updated on Apr 27, 2025.