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Individual

MS. MARI CAITLYNE BLAYLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
60021 MONROE ST, SMITHVILLE, MS 38870-7779
(662) 651-4637
(662) 651-4636
Mailing address
60021 MONROE ST, SMITHVILLE, MS 38870-7779
(662) 651-4637
(662) 651-4635

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903562
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07582036
MS
Enumeration date
10/07/2019
Last updated
03/17/2026
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