Jessica Nicole Blake, MS, CCC-SLP - Speech-Language Pathologist in Bristol, IN

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Jessica Nicole Blake, MS, CCC-SLP is a Speech-language Pathologist based in Bristol, Indiana. Jessica Nicole Blake is licensed to practice in Indiana (license number 22004183A) and her current practice location is 19670 State Road 120, Bristol, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 294-6197.

NPI number for Jessica Nicole Blake is 1699940221 and her current mailing address is 19670 State Road 120, Bristol, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699940221.

Contact Information

Jessica Nicole Blake, MS, CCC-SLP
19670 State Road 120,
Bristol, IN 46507-9131
(574) 294-6197
(574) 296-9158

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Healthcare Provider's Profile

Full NameJessica Nicole Blake
GenderFemale
SpecialitySpeech-language Pathologist
Location19670 State Road 120, Bristol, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699940221
  • Provider Enumeration Date: 04/24/2008
  • Last Update Date: 04/24/2008

Medical Identifiers

Medical identifiers for Jessica Nicole Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699940221NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 22004183A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Nicole Blake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Nicole Blake, MS, CCC-SLP
19670 State Road 120,
Bristol, IN 46507-9131

Ph: (574) 294-6197		Jessica Nicole Blake, MS, CCC-SLP
19670 State Road 120,
Bristol, IN 46507-9131

Ph: (574) 294-6197

Reviews and Comments


Speech-Language Pathologist in Bristol, IN


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