Healthcare Provider Details

I. General information

NPI: 1922760586
Provider Name (Legal Business Name): BLAKE ALEXANDRA STRICKLAND CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BLAKE PARKES NP

II. Dates (important events)

Enumeration Date: 10/12/2021
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2093 HENRY TECKLENBURG DR STE 310E
CHARLESTON SC
29414-5743
US

IV. Provider business mailing address

PO BOX 632709
CINCINNATI OH
45263-2709
US

V. Phone/Fax

Practice location:
  • Phone: 843-402-1971
  • Fax: 843-402-1977
Mailing address:
  • Phone: 888-472-0043
  • Fax: 843-724-2440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number25428
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25428
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: