JENNIFER MARIE BLAKE MD NPI 1891952370

NPI Information

  • NPI: 1891952370
  • Provider Name: JENNIFER MARIE BLAKE, MD
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3901 BEAUBIEN ST
    CHILDRENS HOSPITAL OF MI 4TH FL
    DETROIT, MI
    ZIP 48201
  • Phone: (313) 745-5484

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NPI Details

Jennifer Marie Blake, MD is a pediatric cardiology pediatrics in Detroit, MI with 24 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Jennifer Marie Blake, MD NPI is 1891952370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

3901 BEAUBIEN ST
CHILDRENS HOSPITAL OF MI 4TH FL
DETROIT, MI
ZIP 48201-119
Phone: (313) 745-5484
Fax: (313) 966-2423

The NPI 1891952370 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 5/21/2008 and was last updated on 1/18/2017.

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
12080P0202XPediatricsPediatric Cardiology4301090782MICHIGANYes

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: 11/21/2025

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