BLAISE FONDREN

Family Nurse Practitioner

NPI: 1679341630IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

899036(MS)

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

36596(TN)906484(MS)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2024

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Contact & Hours

Address: 2222 JACKSON AVE W
OXFORD, MS 38655
Phone: (662) 380-5560

Locations (2)

Practice Location

2222 JACKSON AVE W, OXFORD, MS

Practice Location

420 N Main St, Water Valley, MS

Quick Facts

NPI: 1679341630
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 3
Locations: 2
Years in Practice: 2

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