SearchMissouriLicensed Practical Nurse

Jacquelyn Blake, LPN

NPI 1770058299 · on the registry since 2018

Practice

Address
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112
Phone
(314) 367-5820
Fax
(314) 367-7010
Organisation at this address
Carestl Health
Carestl Health #1
Inferred from a shared address, not stated in the registry.
Clinicians at this address
190

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri