Individual
SHARA SMITH BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
2778 HIGHWAY 51 S, SENATOBIA, MS 38668-9403
(662) 560-5966
(662) 560-5969
Mailing address
2778 HIGHWAY 51 S, SENATOBIA, MS 38668-9403
(662) 560-5966
(662) 560-5969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R874322
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09028791
—
MS
Enumeration date
06/28/2012
Last updated
09/22/2022
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