Individual
BRIANNA TIPTON BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2 WALDEN RIDGE DR STE 30, ASHEVILLE, NC 28803-8598
(828) 676-1657
(828) 676-1658
Mailing address
2 WALDEN RIDGE DR STE 30, ASHEVILLE, NC 28803-8598
(828) 676-1657
(828) 676-1658
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0010-13762
NC
363A00000X
Physician Assistant
0010-13762
NC
363AM0700X
Medical Physician Assistant
0010-13762
NC
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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