Stephanie Mccallum Blake
Nurse Practitioner - Neonatal
Baptist Medical Center 1 Medical Center Blvd
Winston Salem
, North Carolina 27157-0001
Stephanie Mccallum Blake
Nurse Practitioner - Neonatal
Baptist Medical Center 1 Medical Center Blvd
Winston Salem
, North Carolina 27157-0001
(919) 423-6885
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Stephanie Mccallum Blake
- 50 Hawks Spiral Way
- Pittsboro, NC
- Zip : 27312-8540
- Phone : (919) 423-6885
Second Address
- Stephanie Mccallum Blake
- Baptist Medical Center 1 Medical Center Blvd
- Winston Salem, NC
- Zip : 27157-0001
- Phone : (336) 716-7265
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 122339 | NC |
National Provider Identifier
| NPI | 1053585638 |
|---|---|
| Provider Name | Stephanie Mccallum Blake |
| First Address | Pittsboro, NC 27312-8540 |
| Second Address | Winston Salem, NC 27157-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2008 |
| Last Update Date | 11/02/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.