Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kimberly Lorene Blake, FNP-C

Individual provider Family Nurse Practitioner · NPI 1689971749

MS. Kimberly Lorene Blake, FNP-C is a Nurse Practitioner in Conway, Arkansas. Qualified in 2010, 16 years ago. Practices with Faulkner Emergency Group, PLLC, a 21-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
16
Licensed in
AR
In the registry since
2011
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1125 Skyline Dr
Conway, AR 72032-6657
Phone: (501) 358-6120
Fax: (501) 358-6268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A03482 ANP (AR)

Record details

NPI number1689971749
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2011
Last updated in NPPESMay 10, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Faulkner Emergency Group, Pllc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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