Individual
BLAKE BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
420 N SALISBURY ST, LEXINGTON, NC 27292-3548
(336) 243-7475
(336) 249-6771
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1936
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018039
NC
Other
Enumeration date
05/02/2023
Last updated
11/17/2025
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