Jillian M Blake
Nurse Practitioner, Acute Care in Boston, Massachusetts
1114792280- Practice location
- 55 Fruit St, Boston, MA 02114-2696
- Phone
- 617-726-2000
- Fax
- —
- Last updated
- July 17, 2025
Jillian Marie Blake is a Nurse Practitioner, Acute Care based in Boston, MA. Jillian Marie Blake practices in Boston, MA. The NPI Number for Jillian Marie Blake is 1114792280 and holds a License No. na (MA). The current practice location address for Jillian Marie Blake is 55 Fruit St, Boston, MA 02114-2696 and can be reached out via phone at 617-726-2000.
Provider Profile Details
- NPI Number
- 1114792280
- Provider Name
- Jillian Marie Blake
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Fruit St, Boston, MA 02114-2696
- Phone Number
- 617-726-2000
- Primary Taxonomy
- Nurse Practitioner, Acute Care · 363LA2100X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 20, 2023
- Last Update Date
- July 17, 2025
- Certification Date
- July 17, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Fruit St
Boston, MA 02114-2696 - City
- Boston
- State
- Massachusetts
- Zip
- 02114-2696
- Phone Number
- 617-726-2000
Provider Business Mailing Address Details
- Address
- 12 Cleveland Ave
Wilmington, MA 01887-2865 - City
- Wilmington
- State
- MA
- Zip
- 01887-2865
- Phone Number
- 603-204-4208
License Information
- License Number (1)
- na
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Acute Care · 363LA2100X
- License Number (2)
- RN2326798
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Acute Care · 363LA2100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jillian M Blake?
The NPI number of Jillian M Blake is 1114792280. It was assigned on November 20, 2023 and is currently active in the NPPES registry.
What is the specialty of Jillian M Blake?
Jillian M Blake is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in MA under license number na.
Where does Jillian M Blake practice?
The practice location is 55 Fruit St, Boston, MA 02114-2696. The office can be reached at 617-726-2000 (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 1114792280 directly on the NPPES registry website.