Individual provider · Type 1 NPI

Phyllisa Dawn Blake, RN

Registered Nurse · Chamblee, GA

NPI number 1629329453 Active

Practice location

3807 Clairmont Rd
Chamblee, GA 30341-4911

Fax (770) 452-4468

Mailing address

4312 Rickenbacker Way NE
Atlanta, GA 30342-3713

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN196553 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1629329453

Phyllisa Dawn Blake, RN's National Provider Identifier is 1629329453, issued on Sep 19, 2012. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Chamblee, GA. The record was last updated on Sep 24, 2012.