JEANNINE PATRICK-BLAIKIE CRNP NPI 1083739502

NPI Information

  • NPI: 1083739502
  • Provider Name: JEANNINE PATRICK-BLAIKIE, CRNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 292 FRANTZ RD
    STE 108
    STROUDSBURG, PA
    ZIP 18360
  • Phone: (570) 426-2960

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NPI Details

Jeannine Patrick-blaikie, CRNP is an adult health nurse practitioner in Stroudsburg, PA. Jeannine Patrick-blaikie, CRNP NPI is 1083739502. 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:

292 FRANTZ RD
STE 108
STROUDSBURG, PA
ZIP 18360-455
Phone: (570) 426-2960
Fax: (570) 426-2965

The enumeration date for this NPI number is 3/21/2007 and was last updated on 11/6/2013.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthVP006532CPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S93655MEDICARE UPINPENNSYLVANIA
2VP006532COTHERPENNSYLVANIAPA STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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