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

Blake McMillian, APRNCNPPMHNP-BC

Individual provider Registered Nurse · NPI 1659946671

Blake McMillian, APRNCNPPMHNP-BC is a Registered Nurse in Pawtucket, Rhode Island. Works from 2 locations. Licensed in New York, Rhode Island and Texas.

Licensed in
NY, RI, TX
In the registry since
2021
Specialties on file
4

Practice location Address checks out

101 Bacon St
Pawtucket, RI 02860-5542
Phone: (401) 722-3560
Fax: (401) 722-3593
Show map & directions

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

Additional practice locations (1)

  • 2090 Adam Clayton Powell Jr Blvd, New York, NY 10027-4990 — (212) 553-6606

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN05241 (RI)
Registered Nurse Taxonomy 163W00000X · Licence 916743 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 798064 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 82250 (RI)

Record details

NPI number1659946671
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNCNPPMHNP-BC
Sole proprietorNo
NPI enumeratedMay 21, 2021
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

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