Individual
BLENDA H CHAMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1300 SUNSET DR, SUITE Q, GRENADA, MS 38901-4086
(662) 294-9101
(662) 294-9104
Mailing address
1300 SUNSET DR, SUITE Q, GRENADA, MS 38901-4086
(662) 294-9101
(662) 294-9104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R505552
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00705241
—
MS
05
—
3341228
—
TN
Enumeration date
07/22/2006
Last updated
10/05/2009
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