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Individual

JENNIFER LYNN BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
34 MOUNTAIN BLVD STE B, WARREN, NJ 07059-2640
(908) 367-6196
Mailing address
96 BRIAR HILLS CIR, SPRINGFIELD, NJ 07081-3422
(860) 518-8290

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15398300
NJ

Other

Enumeration date
08/26/2025
Last updated
09/09/2025
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