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

MS. Jacquelyn Nikol Blake, LPN

Individual provider Licensed Practical Nurse · NPI 1770058299

MS. Jacquelyn Nikol Blake, LPN is a Licensed Practical Nurse in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone: (314) 367-5820
Fax: (314) 367-7010
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 055560 (MO)

Record details

NPI number1770058299
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedOctober 11, 2018
Last updated in NPPESOctober 11, 2018

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