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

Mandy Blake, PNP

Individual provider Nurse Practitioner · NPI 1114359726

Mandy Blake, PNP is a Nurse Practitioner in Salisbury, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

129 Woodson St
Salisbury, NC 28144-3255
Phone: (704) 636-5576
Fax: (704) 216-2011
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 5006329 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5006329 (NC)

Record details

NPI number1114359726
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedAugust 6, 2013
Last updated in NPPESAugust 6, 2013
Mailing address129 Woodson St, Salisbury, NC 28144-3255

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