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