Phyllisa Blake, RN

NPI 1629329453 · on the registry since 2012

Practice

Address: 3807 Clairmont Rd
Chamblee, GA 30341
Phone: (770) 454-1144
Fax: (770) 452-4468
Organisation at this address: Dekalb County Board Of Health
Dekalb Community Service Board
Dekalb Community Service Board
Grady Memorial Hospital Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: Registered Nurse
163W00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-09-24
Status: Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia