NPI
Jessica Nicole Blake
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- M.S., CCC-SLP
- Type
- Individual
- Enumeration date
- 2008-04-24
- Last updated
- 2008-04-24
Specialties
Licenses
- License IN
- 22004183A
Location
- Practice location
- 19670 State Road 120
- City
- Bristol IN
- Postal code
- 46507-9131
- Phone
- (574) 294-6197
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Bristol, IN. 32 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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