Jessica Lynette Blakey, R.N.
Individual provider Active NPI Registered Nurse · Mooresville, IN
NPI 1174893846 · NPPES record last updated Jan 11, 2012
Key facts
- NPI
- 1174893846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 28144480A (IN)
- Practice address
- 9731 N Kitchen Rd
Mooresville, IN 46158-6537 - Phone
- (317) 370-5971
- NPI assigned
- Jan 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28144480A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RN 2U, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28144480A | IN | Yes |
Addresses
Primary practice location
9731 N Kitchen Rd
Mooresville, IN 46158-6537
Mailing address
9731 N Kitchen Rd
Mooresville, IN 46158-6537
Phone (317) 370-5971
Other names
- Miss Jessica Lynette Sims
Other providers in Mooresville, IN
- Francis J Bean
- Richard H Bernhardt
- Laura Berry
- Todd Bertrand
- Jennifer Irene Wakeland Bigelow
- Abigail L Blomer
- Bloom RX Pharmacy
- James P Bohney
- Michael Lenwood Boothe
- Paul Eugene Broderick
All providers in Mooresville, IN · Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2012. 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.