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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
Contact & Hours
Via practice · 2 locations total
- Address
- 2222 JACKSON AVE W
OXFORD, MS 38655 - Phone
- (662) 380-5560
Quick Facts
- NPI
- 1679341630
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 2
- Years in Practice
- 2
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