Janice Blake APRN, PLLC
Nurse Practitioner, Psych/Mental Health in S Glastonbury, Connecticut
1003496829- Practice location
- 181 Thompson St, S Glastonbury, CT 06073-2919
- Phone
- 860-266-7826
- Fax
- —
- Last updated
- June 15, 2021
Janice Blake APRN, PLLC is a healthcare organization based in S Glastonbury, CT. Janice Blake APRN, PLLC practices in S Glastonbury, CT. The NPI Number for Janice Blake APRN, PLLC is 1003496829. The current practice location address for Janice Blake APRN, PLLC is 181 Thompson St, S Glastonbury, CT 06073-2919 and can be reached out via phone at 860-266-7826.
Provider Profile Details
- NPI Number
- 1003496829
- Provider Name
- Janice Blake APRN, PLLC
- Provider Entity Type
- Organization
- Address
- 181 Thompson St, S Glastonbury, CT 06073-2919
- Phone Number
- 860-266-7826
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Janice Blake, PMHNP-BC · Owner/Operator · 860-266-7826
- Provider Enumeration Date
- April 14, 2021
- Last Update Date
- June 15, 2021
- Certification Date
- June 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 181 Thompson St
S Glastonbury, CT 06073-2919 - City
- S Glastonbury
- State
- Connecticut
- Zip
- 06073-2919
- Phone Number
- 860-266-7826
Provider Business Mailing Address Details
- Address
- 181 Thompson St
S Glastonbury, CT 06073-2919 - City
- S Glastonbury
- State
- CT
- Zip
- 06073-2919
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near S Glastonbury, CT
View all Nurse Practitioner, Psych/Mental Health providers in S Glastonbury →Frequently Asked Questions
What is the NPI number of Janice Blake APRN, PLLC?
The NPI number of Janice Blake APRN, PLLC is 1003496829. It was assigned on April 14, 2021 and is currently active in the NPPES registry.
What is the specialty of Janice Blake APRN, PLLC?
Janice Blake APRN, PLLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Janice Blake APRN, PLLC practice?
The practice location is 181 Thompson St, S Glastonbury, CT 06073-2919. The office can be reached at 860-266-7826 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003496829 directly on the NPPES registry website.