Blake Revlett

Physician Assistant · Murfreesboro, TN

Individual Active NPI

NPI number 1346955168

Practice location

1508 Carl Adams Dr Unit 200
Murfreesboro, TN 37129-4375
Phone
(615) 893-4896

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NPI record

NPI
1346955168
Entity type
Individual (Type 1)
Enumeration date
January 16, 2023
Last updated
January 16, 2023
Certified
January 16, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA0000005269 TN

Mailing address

2220 Spain Hill Rd
Lascassas, TN 37085-5143
Phone
(615) 785-9563

About Blake Revlett

Blake Revlett is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1508 Carl Adams Dr Unit 200, Murfreesboro, TN 37129-4375. The NPI number 1346955168 was assigned on January 16, 2023 and the record was last updated on January 16, 2023.

Blake Revlett lists a license in the registry: #PA0000005269 (TN) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Revlett?

The NPI number is 1346955168.

What is the phone number of Blake Revlett?

The phone number listed for the practice location is (615) 893-4896.

Where is Blake Revlett located?

1508 Carl Adams Dr Unit 200, Murfreesboro, TN 37129-4375.

What is the taxonomy code for Blake Revlett?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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