National Provider Identifier

Jane R Blake, NP

Jane R Blake, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 505-5630.

NPI 1063447456Buffalo, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1063447456
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
July 12, 2006
Last Updated
July 08, 2007

Practice Location

  • 7 Community Dr
  • Buffalo, NY 14225-2523

Phone: (716) 505-5630

Mailing Address

  • 2356 N Forest RD
  • Getzville, NY 14068-1224

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1063447456
Entity Type
Individual
Last Name
Blake
First Name
Jane
Middle Name
R
Credential
NP
Mailing Street Address
2356 N Forest RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1224
Mailing Country
US
Mailing Phone
(716) 505-5630
Mailing Fax
(716) 892-1936
Practice Street Address
7 Community Dr
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14225-2523
Practice Country
US
Practice Phone
(716) 505-5630
Practice Fax
(716) 892-1936
Enumeration Date
July 12, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)
Other Identifiers
000560368001 (NY, Univera), 500006815 (NY, Medicare Railroad)