Blakemore, Susan Lynne

Blakemore, Susan Lynne is an individual health care provider with primary practice located at 3743 Landmark Dr Ste 200, Lafayette IN 47905-6656. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blakemore, Susan Lynne can be contacted via phone (765) 448-4511.

Contact Information

Primary practice address
3743 Landmark Dr Ste 200 Lafayette IN 47905-6656
Phone: (765) 448-4511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F1214194 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A0213010 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004535A Indiana

Profile Details

NPI number 1437583390
LBN Legal business name Blakemore, Susan Lynne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2013
Last updated Apr 30th, 2021 - about 5 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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