Individual
MRS. PAULA LEIGH BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
5005 OLD CANTON RD, JACKSON, MS 39211-5421
(999) 999-9999
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
902236
MS
363LA2200X
Adult Health Nurse Practitioner
902236
MS
363LF0000X
Family Nurse Practitioner
Primary
902236
MS
363LP2300X
Primary Care Nurse Practitioner
902236
MS
Other
Enumeration date
08/14/2017
Last updated
08/21/2025
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