JORDAN BLAKE
NPI 1467840645
Student in an Organized Health Care Education/Training Program in Garner, NC

Q: What is Jordan Blake's NPI number?

The NPI number for Jordan Blake is 1467840645. It was assigned to this individual provider in the NPPES registry on December 22, 2014.

Q: What is Jordan Blake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Blake was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since December 22, 2014

1700 LAKESIDE DR, GARNER, NC 27529(919) 612-5856 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jordan Blake NPPES

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

JORDAN BLAKE (NPI 1467840645) is an individual student in an organized health care education/training program in Garner, North Carolina and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1467840645

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJORDAN BLAKE

Location Address1700 LAKESIDE DRGarner, NC 27529-3845

Mailing Address1700 Lakeside DrGarner, NC 27529-3845 · (919) 612-5856

Phone(919) 612-5856

Sole ProprietorYes

Enumeration DateDecember 22, 2014

Last NPPES UpdateDecember 23, 2014

✔ NPI 1467840645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

1700 LAKESIDE DR, Garner, NC 27529

Open in Google Maps ↗

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 Jordan Blake's NPI number?

The NPI number for Jordan Blake is 1467840645. It was assigned to this individual provider in the NPPES registry on December 22, 2014.

Where is Jordan Blake located?

Jordan Blake practices at 1700 Lakeside Dr, Garner, NC 27529. The listed phone number is (919) 612-5856.

What is Jordan Blake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Blake was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.