Jill Blake, LPN - Licensed Practical Nurse in University Park, PA

Jill Blake, LPN is a Licensed Practical Nurse based in University Park, Pennsylvania. Jill Blake is licensed to practice in Pennsylvania (license number PN255327L) and her current practice location is 502 Student Health Ctr, University Park, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (814) 865-6555.

NPI number for Jill Blake is 1407240435 and her current mailing address is 502 Student Health Center, Penn State University, University Park, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407240435.

Contact Information

Jill Blake, LPN
502 Student Health Ctr,
University Park, PA 16802-2129
(814) 865-6555
(814) 863-8464



Provider's Profile

Full NameJill Blake
GenderFemale
SpecialityLicensed Practical Nurse
Location502 Student Health Ctr, University Park, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407240435
  • Provider Enumeration Date: 03/27/2015
  • Last Update Date: 03/27/2015

Medical Identifiers

Medical identifiers for Jill Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407240435NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse PN255327L (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Blake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jill Blake, LPN
502 Student Health Center, Penn State University,
University Park, PA 16802

Ph: (814) 865-6555
Jill Blake, LPN
502 Student Health Ctr,
University Park, PA 16802-2129

Ph: (814) 865-6555

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› Verified 3 days ago


Licensed Practical Nurse Nurses in University Park, PA

Haley Frank, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 502 Student Health Ctr, University Park, PA 16802
Phone: 814-865-4847    
Sara Bowman, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1 Eisenhower Road, University Park, PA 16802
Phone: 814-865-6556    
Shana Martin, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 438 Student Health Ctr, University Park, PA 16802
Phone: 814-863-0774    
Erin Marie Mosser, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1 Eisenhower Drive, Student Health Services, University Park, PA 16802
Phone: 814-865-2755    
Heather Dunlap, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 502 Student Health Ctr, University Park, PA 16802
Phone: 814-865-6555    Fax: 814-863-8464
Lori Bonson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 502 Student Health Ctr, University Park, PA 16802
Phone: 814-865-6555    Fax: 814-863-8464
Desirae Elizabeth Urmann, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: University Health Services, Student Health Center, University Park, PA 16802
Phone: 814-863-0774    

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