Provider Demographics
NPI:1962380774
Name:BLAKER, SHERI ANNE (NP)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:ANNE
Last Name:BLAKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1613 ROUTE 47 S UNIT F
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:NJ
Mailing Address - Zip Code:08242-1411
Mailing Address - Country:US
Mailing Address - Phone:609-886-5245
Mailing Address - Fax:609-886-5295
Practice Address - Street 1:1613 ROUTE 47 S UNIT F
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:NJ
Practice Address - Zip Code:08242-1411
Practice Address - Country:US
Practice Address - Phone:609-886-5245
Practice Address - Fax:609-886-5295
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15221900207QA0505X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine