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JILLIAN MARIE BLAKE
NPI 1114792280
Nurse Practitioner - Acute Care in Boston, MA

Active since November 20, 2023

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jillian Marie Blake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLIAN MARIE BLAKE (NPI 1114792280) is an individual acute care provider in Boston, Massachusetts, licensed in Massachusetts (RN2326798) and active in the NPI registry since November 2023. She maintains a secondary practice location in Derry.

NPPES Registry Identity

NPI1114792280
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJILLIAN MARIE BLAKE
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address12 Cleveland AveWilmington, MA 01887-2865 · (603) 204-4208
Phone(617) 726-2000
Sole ProprietorYes
Enumeration DateNovember 20, 2023
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1114792280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in MA · RN2326798✔ Licensed in MA · NA
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Secondary Practice Location 1

Location 1156 Chester RdDerry, NH 03038-5555 · Phone (603) 204-4408

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jillian Blake's NPI number?

The NPI number for Jillian Blake is 1114792280. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Where is Jillian Blake located?

Jillian Blake practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Jillian Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Jillian Blake was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.