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

Dr. Jeremy T. Blake, MD

Individual provider Pediatrics Physician · NPI 1770671018

Dr. Jeremy T. Blake, MD is a Pediatrics Physician in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

264 Coatsland Dr
Jackson, TN 38301
Phone: (731) 423-1500
Fax: (731) 423-0342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD0000031623 (TN)

Record details

NPI number1770671018
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESOctober 17, 2018

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