Organization
GENERATIONAL HEALTH INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A BLAKE (CEO)
(954) 557-2775
Entity
Organization
Contact information
Practice address
844 S FLEISHEL AVE, TYLER, TX 75701-2042
(954) 557-2775
Mailing address
PO BOX 6994, TYLER, TX 75711-6994
(954) 557-2775
(903) 805-4928
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
10/02/2025
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