Blake, Janice

Blake, Janice is an individual health care provider with primary practice located at 181 Thompson St , S Glastonbury CT 06073-2919. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Blake, Janice can be contacted via phone (860) 266-7826.

Contact Information

Primary practice address
181 Thompson St S Glastonbury CT 06073-2919
Phone: (860) 266-7826
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8329 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 8329 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 8329 Connecticut

Profile Details

NPI number 1548822000
LBN Legal business name Blake, Janice
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2019
Last updated Jun 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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