Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mandy Blake, PNP

Individual provider Nurse Practitioner · NPI 1114359726

Mandy Blake, PNP is a Nurse Practitioner in Salisbury, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

129 Woodson St
Salisbury, NC 28144-3255
Phone: (704) 636-5576
Fax: (704) 216-2011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 5006329 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5006329 (NC)

Record details

NPI number1114359726
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedAugust 6, 2013
Last updated in NPPESAugust 6, 2013

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