MRS. JILL ANN BLAKE FNP-BC NPI 1508018896

NPI Information

MRS. Jill Ann Blake, FNP-BC is a family nurse practitioner in Beckley, WV. MRS. Jill Ann Blake, FNP-BC NPI is 1508018896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3771 ROBERT C. BYRD DRIVE
BECKLEY, WV
ZIP 25801
Phone: (304) 255-5710
Fax: (304) 255-5702

The NPI 1508018896 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2008 and was last updated on 10/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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