Individual
MRS. LEEANN MCCAMY BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
102 E WINDSOR ST, MONROE, NC 28112-4837
(704) 774-1255
(704) 774-1226
Mailing address
102 E WINDSOR ST, MONROE, NC 28112-4837
(704) 774-1255
(704) 774-1226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5008953
NC
363LW0102X
Women's Health Nurse Practitioner
Primary
5008953
NC
Other
Enumeration date
09/23/2016
Last updated
01/02/2025
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