Individual
ELAINE ANNETTE BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
904039
MS
363LP2300X
Primary Care Nurse Practitioner
904039
MS
Other
Enumeration date
07/28/2020
Last updated
10/05/2025
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