Individual
SHEENA MICHELE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
810 S MAIN ST, ELKTON, KY 42220-8812
(270) 265-5600
Mailing address
810 S MAIN ST, ELKTON, KY 42220-8812
(270) 265-5600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3015136
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3015136
KY
Other
Enumeration date
11/23/2020
Last updated
11/14/2023
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