NPIRadar

Jewel Blake-Henry, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Locust Grove, GA

NPI
1932093473
Type
Individual (Type 1)
Primary specialty
Licensed Practical Nurse
Specialty group
Nursing Service Providers
Taxonomy code
164W00000X
License number
LPN098388 (GA)
Sex
Female
Sole proprietor
No
Enumerated
2025-06-09
Last updated
2025-06-09
Practice location
520 Mullen Ct
Locust Grove, GA 30248-2500
(404) 210-4247

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