P Praxis·MD
● Active Type 1 · Individual

Penny Blake, APRN

Nurse Practitioner·Henderson, TX· NPI 1215489935 · Enumerated 2016 · 9 years on NPI
Blake is 1 of 19 nurse practitioner providers in Henderson and 1 of 22123 in Texas.
NPI age
9 years
Enumerated 2016-10-28
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-10Enumerated in NPPES
2016 2026

Where they practice

Practice location
1600 Us Highway 79 S
Henderson, TX 756544508
📞 9037173260
Mailing address
Po Box 1022
Waynesboro, TN 384851022
📞 9317222369

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1107 E Marshall Ave
Longview, TX 756015602
📞 9037582610fax 9037587081
Location 3
703 E Marshall Ave Ste 4008
Longview, TX 756015622
📞 9033152729

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #AP132551 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Henderson in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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