Blake, Jessica C

Blake, Jessica C is an individual health care provider with primary practice located at 7430 College St , Irmo SC 29063-2903. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blake, Jessica C can be contacted via phone (839) 200-7810.

Contact Information

Primary practice address
7430 College St Irmo SC 29063-2903
Phone: (839) 200-7810
Fax: (803) 891-7085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 25430 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 25430 South Carolina

Profile Details

NPI number 1760154447
LBN Legal business name Blake, Jessica C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2021
Last updated Feb 14th, 2022 - 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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