OPAL BLAKE, NP-C

NP-C

Nurse Practitioner

NPI: 1043629140IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

RN 199200(GA)RN199200(GA)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2014

Contact & Hours

Address: 631 PROFESSIONAL DR STE 350
LAWRENCEVILLE, GA 30046
Phone: (770) 995-0630

Quick Facts

NPI: 1043629140
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 12

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