Individual
MRS. LISA GRAHAM BLESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1101 HIGHWAY 11 S, ELLISVILLE, MS 39437-4443
(601) 477-5795
(601) 477-5895
Mailing address
21 CRESTWICK CIR, HATTIESBURG, MS 39402-8354
(601) 310-4176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R842124
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125048
—
MS
Enumeration date
09/15/2006
Last updated
03/09/2026
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