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1417835430
JENNIFER LYNN BLAKE
WARREN, NJ
NPI
1417835430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ15398300)
Enumeration Date
2025-08-26
Last Update Date
2025-09-09
Business Address
-- JENNIFER LYNN BLAKE FNP
34 MOUNTAIN BLVD STE B
WARREN, NJ 07059-2640
Phone number: 908-367-6196
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Mailing Address
-- JENNIFER LYNN BLAKE FNP
96 BRIAR HILLS CIR
SPRINGFIELD, NJ 07081-3422
Phone number: 860-518-8290
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