Blake, Jillian Marie

Blake, Jillian Marie is an sole proprietor health care provider with primary practice located at 156 Chester Rd , Derry NH 03038-5555. 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, Jillian Marie can be contacted via phone (603) 204-4408.

Contact Information

Primary practice address
156 Chester Rd Derry NH 03038-5555
Phone: (603) 204-4408
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NA Massachusetts

Profile Details

NPI number 1114792280
LBN Legal business name Blake, Jillian Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2023
Last updated Nov 20th, 2023 - about 2 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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