| Jill Blake, LPN | |
|
502 Student Health Ctr, University Park, PA 16802-2129 | |
| (814) 865-6555 | |
| (814) 863-8464 |
| Full Name | Jill Blake |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 502 Student Health Ctr, University Park, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407240435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN255327L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Blake, LPN 502 Student Health Center, Penn State University, University Park, PA 16802 Ph: (814) 865-6555 | Jill Blake, LPN 502 Student Health Ctr, University Park, PA 16802-2129 Ph: (814) 865-6555 |
Haley Frank, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 502 Student Health Ctr, University Park, PA 16802 Phone: 814-865-4847 | |
Sara Bowman, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Eisenhower Road, University Park, PA 16802 Phone: 814-865-6556 | |
Shana Martin, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 438 Student Health Ctr, University Park, PA 16802 Phone: 814-863-0774 | |
Erin Marie Mosser, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Eisenhower Drive, Student Health Services, University Park, PA 16802 Phone: 814-865-2755 | |
Heather Dunlap, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 502 Student Health Ctr, University Park, PA 16802 Phone: 814-865-6555 Fax: 814-863-8464 | |
Lori Bonson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 502 Student Health Ctr, University Park, PA 16802 Phone: 814-865-6555 Fax: 814-863-8464 | |
Desirae Elizabeth Urmann, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: University Health Services, Student Health Center, University Park, PA 16802 Phone: 814-863-0774 |