Individual
SYLVIA BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
109 PARK GATE EXT, TUPELO, MS 38801-3038
(662) 840-4175
Mailing address
109 PARK GATE EXT, TUPELO, MS 38801-3038
(662) 840-4175
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R729086
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124764
—
MS
Enumeration date
08/13/2006
Last updated
07/08/2007
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