Individual
LACONA BLUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
303 N MADISON ST, CORINTH, MS 38834-5072
(662) 214-6820
Mailing address
303 N MADISON ST, CORINTH, MS 38834-5072
(662) 214-6820
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
904398
MS
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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