| Jessica Blake, | |
|
15101 Glenwood Ave, Stanley, KS 66223 | |
| (913) 681-8866 | |
| Not Available |
| Full Name | Jessica Blake |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 15101 Glenwood Ave, Stanley, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477955755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 109445 (Kansas) | Secondary |
| 363L00000X | Nurse Practitioner | 53-76586 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Blake, 15101 Glenwood Ave, Stanley, KS 66223-3154 Ph: () - | Jessica Blake, 15101 Glenwood Ave, Stanley, KS 66223 Ph: (913) 681-8866 |
Madeline Howell, FNP/ENP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15101 Glenwood Ave, Stanley, KS 66223 Phone: 913-681-8866 | |
Annalee Neds, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15101 Glenwood Ave, Stanley, KS 66223 Phone: 913-681-9966 Fax: 913-338-1311 |