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

Individual provider Nurse Practitioner · NPI 1912782723

Vanessa Lynn Blake, FNP-C is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2023, 3 years ago. Practices with County of Wake, a 19-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
2
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

4551 New Bern Ave
Raleigh, NC 27610-1551
Phone: (919) 556-1008
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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 5018726 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5018726 (NC)

Record details

NPI number1912782723
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 29, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice County Of Wake — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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