Blake, Jennifer Marie

Blake, Jennifer Marie is an individual health care provider with primary practice located at 601 E 15Th St , Austin TX 78701-1930. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Blake, Jennifer Marie can be contacted via phone (512) 324-1000.

Contact Information

Primary practice address
601 E 15Th St Austin TX 78701-1930
Phone: (512) 324-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neuroscience 163WN0800X 4704258847 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704258847 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 795600 Texas

Profile Details

NPI number 1598073835
LBN Legal business name Blake, Jennifer Marie
Credentials MS, ACNP-BC, CNRN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2010
Last updated Jun 16th, 2011 - about 13 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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