Janice Blake Aprn, PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · S Glastonbury, CT
NPI 1003496829 · NPPES record last updated Jun 15, 2021
Key facts
- NPI
- 1003496829
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- JANICE BLAKE APRN, PLLC
- Practice address
- 181 Thompson St
S Glastonbury, CT 06073-2919 - Phone
- (860) 266-7826
- NPI assigned
- Apr 14, 2021
- Organization subpart
- No
Authorized official
- Name
- Janice Blake, PMHNP-BC
- Title
- Owner/Operator
- Phone
- (860) 266-7826
Practitioners 1
-
Janice Blake, PMHNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
181 Thompson St
S Glastonbury, CT 06073-2919
Mailing address
181 Thompson St
S Glastonbury, CT 06073-2919
Other providers in S Glastonbury, CT
All providers in S Glastonbury, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.