Individual
CHRISTINA L BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
106 W GEORGIA RD, SIMPSONVILLE, SC 29681-2302
(864) 662-6840
(864) 448-1720
Mailing address
106 W GEORGIA RD, SIMPSONVILLE, SC 29681-2302
(864) 662-6840
(864) 448-1720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225614
SC
363L00000X
Nurse Practitioner
211071
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21071
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4579
—
SC
01
—
SCA8307652
MEDICARE PIN
—
Enumeration date
04/21/2017
Last updated
03/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us