Individual provider · Type 1 NPI

Blake McMillian, APRN CNP PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Pawtucket, RI

NPI number 1659946671 Active

Practice location

101 Bacon St
Pawtucket, RI 02860-5542

Fax (401) 722-3593

Mailing address

325 W 45th St Apt 803A
New York, NY 10036-0077

Other practice locations

  • 2090 Adam Clayton Powell Jr Blvd, New York, NY 10027-4990 · (212) 553-6606

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X916743 (TX)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN05241 (RI)
Registered Nurse 163W00000X798064 (NY)
Registered Nurse 163W00000X82250 (RI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

72 other providers at this address

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About NPI 1659946671

Blake McMillian, APRN CNP PMHNP-BC's National Provider Identifier is 1659946671, issued on May 21, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pawtucket, RI. The record was last updated on Jul 10, 2026.