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

Jillian Marie Blake

Individual provider Acute Care Nurse Practitioner · NPI 1114792280

Jillian Marie Blake is an Acute Care Nurse Practitioner in Boston, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-2000
Show map & directions

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

Additional practice locations (1)

  • 156 Chester Rd, Derry, NH 03038-5555 — (603) 204-4408

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN2326798 (MA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence NA (MA)

Record details

NPI number1114792280
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 20, 2023
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address12 Cleveland Ave, Wilmington, MA 01887-2865

Other providers in Boston