person
Mrs. Lisa Graham Blesse, FNP
Family Nurse Practitioner in Ellisville, Mississippi
NPI 1508962101

Lisa Graham Blesse is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Lisa Graham Blesse practices in Ellisville, MS and has the professional credentials of FNP. The NPI Number for Lisa Graham Blesse is 1508962101 and holds a License No. R842124 (Mississippi).

The current practice location address for Lisa Graham Blesse is 1101 Highway 11 S, Ellisville, MS and can be reached out via phone at 601-477-5795 and via fax at 601-477-5895.

Location: 1101 Highway 11 S, Ellisville, MS, 39402-8864
person
Provider Profile Details
NPI Number
1508962101
Provider Name
Lisa Graham Blesse
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1101 Highway 11 S, Ellisville, MS, 39402-8864
Phone Number
601-477-5795
Fax Number
601-477-5895
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00125048 05 MS
institution
Provider Business Practice Location Address Details
Address
1101 Highway 11 S
City
State
Zip
39437-4443
Phone Number
601-477-5795
Fax Number
601-477-5895
person
Provider Business Mailing Address Details
Address
1101 Highway 11 S
City
State
Zip
39437-4443
Phone Number
601-477-5795
Fax Number
601-477-5895
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R842124 (Mississippi)
Definition
Definition to come...
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