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Contact Information

JENNIFER M BLAKE, MS, ACNP-BC
201 SETON PKWY
ROUND ROCK, TX78665-8000
 Phone: 512-324-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Neuroscience

163WN0800X
Indicates primary specialty

NPI Profile & details for JENNIFER M BLAKE · (Female)

NPI Number 1598073835
Status Active
Credentials MS, ACNP-BC
Entity Individual
Enumeration date 09/21/2010
Last updated 01/24/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704258847
  • TX License # 795600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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