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

Judith Elise Blake, PA-C

Individual provider Surgical Physician Assistant · NPI 1942749965

Judith Elise Blake, PA-C is a Surgical Physician Assistant in Daphne, Alabama. Licensed in Alabama. Registered with an NPI since 2017.

Licensed in
AL
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1505 Daphne Ave
Daphne, AL 36526-4298
Phone: (251) 625-2663
Fax: (251) 625-3198
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.1207 (AL)

Record details

NPI number1942749965
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 23, 2017
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

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