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

Gavin Douglas Blakely, RN

Individual provider Registered Nurse · NPI 1730977711

Gavin Douglas Blakely, RN is a Registered Nurse in Winston Salem, North Carolina. Licensed in Tennessee. Registered with an NPI since 2025.

Licensed in
TN
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 263673 (TN)

Record details

NPI number1730977711
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 29, 2025
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address1540 Lewisburg Pointe Dr, Clemmons, NC 27012-8391

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