Individual
AMBER BROOKE BLEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
115 31ST AVE SE, MOULTRIE, GA 31768-6771
(229) 502-9788
(229) 890-2166
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 502-9788
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN213604
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN213604
GA LICENSE
GA
Enumeration date
11/19/2014
Last updated
09/08/2025
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