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Opal Mullings Blake, NP-C
Nurse Practitioner in Lawrenceville, Georgia
NPI 1043629140

Opal Mullings Blake is a Nurse Practitioner based in Lawrenceville, GA. Opal Mullings Blake practices in Lawrenceville, GA and has the professional credentials of NP-C. The NPI Number for Opal Mullings Blake is 1043629140 and holds a License No. RN 199200 (Georgia).

The current practice location address for Opal Mullings Blake is 631 Professional Dr Ste 350, Lawrenceville, GA and can be reached out via phone at 770-995-0630 and via fax at 770-995-1555. You can also correspond with Opal Mullings Blake through the mailing address at 631 PROFESSIONAL DR, LAWRENCEVILLE, GA - 30046 (mailing address contact number: 770-995-0630).

Location: 631 Professional Dr Ste 350, Lawrenceville, GA, 30046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043629140
Provider Name
Opal Mullings Blake
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
631 Professional Dr Ste 350, Lawrenceville, GA, 30046
Phone Number
770-995-0630
Fax Number
770-995-1555
Provider Enumeration Date
08/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
631 Professional Dr Ste 350
City
Lawrenceville
State
Georgia
Zip
30046-3370
Phone Number
770-995-0630
Fax Number
770-995-1555
person
Provider Business Mailing Address Details
Address
631 Professional Dr Ste 350
City
Lawrenceville
State
Georgia
Zip
30046-3370
Phone Number
770-995-0630
Fax Number
770-995-1555
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN 199200 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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