Blake, Jennifer Lee

Blake, Jennifer Lee is an individual health care provider with primary practice located at 71 Haynes St , Manchester CT 06040-4188. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Blake, Jennifer Lee can be contacted via phone (860) 646-1222.

Contact Information

Primary practice address
71 Haynes St Manchester CT 06040-4188
Phone: (860) 646-1222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 12319 Connecticut

Profile Details

NPI number 1508643750
LBN Legal business name Blake, Jennifer Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2023
Last updated Sep 15th, 2023 - 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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