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NPI Profile for JOAN BLAKE in SHREVEPORT, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner |
| NPI Number | 1558181982 |
|
| Status | Active | |
| Credentials | MSN APRN ACNPC-AG | |
| Entity | Individual | |
| Enumeration date | 10/11/2024 | |
| Last updated | 11/07/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOAN BLAKE
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