Individual
JAYLIN SHAYNE BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-3000
Mailing address
130 MCGRAPH CV, SALTILLO, MS 38866-6880
(662) 687-0720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906904
MS
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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