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

Jennifer Lynn Blake, FNP

Individual provider Family Nurse Practitioner · NPI 1417835430

Jennifer Lynn Blake, FNP is a Nurse Practitioner in Warren, New Jersey. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

34 Mountain Blvd Ste B
Warren, NJ 07059-2640
Phone: (908) 367-6196
Show map & directions

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

Additional practice locations (1)

  • 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 — (908) 673-7167

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15398300 (NJ)

Record details

NPI number1417835430
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 26, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address96 Briar Hills Cir, Springfield, NJ 07081-3422

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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