Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Nicole Blake, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1699940221

Jessica Nicole Blake, MS, CCC-SLP is a Speech-Language Pathologist in Bristol, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

19670 State Road 120
Bristol, IN 46507-9131
Phone: (574) 294-6197
Fax: (574) 296-9158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22004183A (IN)

Record details

NPI number1699940221
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedApril 24, 2008
Last updated in NPPESApril 24, 2008