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Mrs. Krista Bain Blaylock, NP
Family Health Clinical Nurse Specialist in Kosciusko, Mississippi
NPI 1609178094

Krista Bain Blaylock is a Family Health Clinical Nurse Specialist based in Ridgeland, MS and is specialized in Family Health. Krista Bain Blaylock practices in Kosciusko, MS and has the professional credentials of NP. The NPI Number for Krista Bain Blaylock is 1609178094 and holds a License No. R863824 (Mississippi).

The current practice location address for Krista Bain Blaylock is 332 Highway 12 W, Kosciusko, MS and can be reached out via phone at 662-289-1800. You can also correspond with Krista Bain Blaylock through the mailing address at 864 WILSON DR, RIDGELAND, MS - 39157-4512 (mailing address contact number: 601-206-6100).

Location: 332 Highway 12 W, Kosciusko, MS, 39157-4512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609178094
Provider Name
Krista Bain Blaylock
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
332 Highway 12 W, Kosciusko, MS, 39157-4512
Phone Number
662-289-1800
Fax Number
Provider Enumeration Date
11/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
332 Highway 12 W
City
Kosciusko
State
Mississippi
Zip
39090-3209
Phone Number
662-289-1800
Fax Number
person
Provider Business Mailing Address Details
Address
332 Highway 12 W
City
Kosciusko
State
Mississippi
Zip
39090-3209
Phone Number
662-289-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R863824 (Mississippi)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Family Health
Taxonomy
364SF0001X
License No.
R863824 (Mississippi)
Definition
Definition to come...
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