Leisha Monette Blaylock, FNP-C
NPI #1083018063 in Bridgeport, Texas
Provider Information
- NPI Number
- 1083018063
- Entity Type
- Individual
- Name
- Leisha Monette Blaylock, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Oct 20, 2014
- Last Updated
- Oct 10, 2019
Practice Location
- Address
- 2202 US HIGHWAY 380
- Address 2
- SUITE 112
- City
- Bridgeport
- State
- Texas
- ZIP Code
- 76426-2176
- Phone
- (940) 683-2338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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