Individual
MS. LACEY LANE BLESSITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15 CAMPUS DR, NATCHEZ, MS 39120-5364
(601) 304-4375
Mailing address
414 S COMMERCE ST, NATCHEZ, MS 39120-3506
(662) 207-5064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
867653
MS
363LF0000X
Family Nurse Practitioner
R867653
MS
Other
Enumeration date
06/05/2012
Last updated
10/03/2019
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