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MS. JACQUELYN NIKOL BLAKE LPN
NPI 1770058299
Licensed Practical Nurse in Saint Louis, MO

Active since October 11, 2018
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112(314) 367-5820(314) 367-7010 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Jacquelyn Nikol Blake Lpn NPPES

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

MS. JACQUELYN NIKOL BLAKE LPN (NPI 1770058299) is an individual licensed practical nurse in Saint Louis, Missouri, licensed in Missouri (055560) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1770058299
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. JACQUELYN NIKOL BLAKECredential: LPN
Location Address5471 DR MARTIN LUTHER KING DRSaint Louis, MO 63112-4265
Mailing Address5471 Dr Martin Luther King DrSaint Louis, MO 63112-4265 · (314) 367-5820 · Fax (314) 367-7010
Phone(314) 367-5820
Fax(314) 367-7010
Sole ProprietorNo
Enumeration DateOctober 11, 2018
✔ NPI 1770058299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MO · 055560
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
5471 DR MARTIN LUTHER KING DR, Saint Louis, MO 63112
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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.

MS. CARLA DAUGHERTY DDS
Dentist
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. JETUAN L ROWLEY-HERRON M.D.
Family Medicine
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. ANDREA LASHELLE BRUCE LPN
Licensed Practical Nurse
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. TERESITA AGUSTIN COMETA MD
Family Medicine
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
DR. LAILA G. GABRAWY M.D.
Ophthalmology
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
RODELYNN RICHEE LPN
Licensed Practical Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. PAMELA LATONIA MARSHALL RPH
Pharmacist
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. MARGARET CHINYERE NWAOBASI RN MSN
Registered Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820

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 Jacquelyn Blake's NPI number?

The NPI number for Jacquelyn Blake is 1770058299. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Where is Jacquelyn Blake located?

Jacquelyn Blake practices at 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112. The listed phone number is (314) 367-5820.

What is Jacquelyn Blake's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Blake was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.