Individual
REBECCA BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1455 N LAKELAND DR, MERIDIAN, MS 39307-9020
(601) 581-8461
(601) 483-5543
Mailing address
PO BOX 4128, MERIDIAN, MS 39304-4128
(601) 581-8461
(601) 483-5543
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R619728
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00954329
—
MS
Enumeration date
01/23/2007
Last updated
11/30/2017
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