Jacquelyn Nikol Blake, LPN
NPI 1770058299ActiveIndividual· Licensed Practical Nurse· Saint Louis, MO
Licensed Practical Nurse (LPN) in Saint Louis, Missouri, licensed in MO, with an NPI issued in October 2018.
Overview
| NPI | 1770058299 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPN |
| Sole proprietor | No |
| NPI issued | Oct 11, 2018 |
| Last updated in NPPES | Oct 11, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 055560 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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