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Penny Blake, APRN
Family Nurse Practitioner in Henderson, Texas
NPI 1215489935

Penny Blake is a Family Nurse Practitioner based in Waynesboro, TX and is specialized in Family. Penny Blake practices in Henderson, TX and has the professional credentials of APRN. The NPI Number for Penny Blake is 1215489935 and holds a License No. AP132551 (Texas).

The current practice location address for Penny Blake is 1600 Us Highway 79 S, Henderson, TX and can be reached out via phone at 903-717-3260.

Location: 1600 Us Highway 79 S, Henderson, TX, 38485-1022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215489935
Provider Name
Penny Blake
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1600 Us Highway 79 S, Henderson, TX, 38485-1022
Phone Number
903-717-3260
Fax Number
Provider Enumeration Date
10/28/2016
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
1600 Us Highway 79 S
City
Henderson
State
Texas
Zip
75654-4508
Phone Number
903-717-3260
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Us Highway 79 S
City
Henderson
State
Texas
Zip
75654-4508
Phone Number
903-717-3260
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP132551 (Texas)
Definition
Definition to come...
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