person
Blake Austin Kennedy, FNP-C
Family Nurse Practitioner in Jackson, Mississippi
NPI 1427715937

Blake Austin Kennedy is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Blake Austin Kennedy practices in Jackson, MS and has the professional credentials of FNP-C. The NPI Number for Blake Austin Kennedy is 1427715937 and holds a License No. 904722 (Mississippi).

The current practice location address for Blake Austin Kennedy is 1325 E Fortification St, Jackson, MS and can be reached out via phone at 601-354-4488 and via fax at 601-914-1779.

Location: 1325 E Fortification St, Jackson, MS, 39202-2442
person
Provider Profile Details
NPI Number
1427715937
Provider Name
Blake Austin Kennedy
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1325 E Fortification St, Jackson, MS, 39202-2442
Phone Number
601-354-4488
Fax Number
601-914-1779
Provider Enumeration Date
11/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1325 E Fortification St
City
State
Zip
39202-2442
Phone Number
601-354-4488
Fax Number
601-914-1779
person
Provider Business Mailing Address Details
Address
1325 E Fortification St
City
State
Zip
39202-2442
Phone Number
601-354-4488
Fax Number
601-914-1779
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
904722 (Mississippi)
Definition
Definition to come...
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