Individual provider · Type 1 NPI
Jessica Carole Blake, FNP
Nurse Practitioner · Newberry, SC
Practice location
1410 Wilson Rd
Newberry, SC 29108-3050
Fax (803) 276-2630
Mailing address
PO Box 749306
Atlanta, GA 30374-9306
Other practice locations
- 7430 College St, Irmo, SC 29063-2903 · (839) 200-7810
- 2720 Sunset Blvd, West Columbia, SC 29169-4810 · (803) 936-7372
- 1330 Dutch Fork Rd, Irmo, SC 29063-8825 · (803) 749-1666
- 555 E Cheves St, Florence, SC 29506-2617 · (843) 777-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 25430 (SC) |
| Family Nurse Practitioner | 363LF0000X | 25430 (SC) |
| Nurse Practitioner Primary | 363L00000X | 25430 (SC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
4 other providers at this address
About NPI 1760154447
Jessica Carole Blake, FNP's National Provider Identifier is 1760154447, issued on Oct 1, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newberry, SC. The record was last updated on Nov 2, 2026.