MRS. Krista Bain Blaylock, N.P.
NPI #1609178094 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1609178094
- Entity Type
- Individual
- Name
- MRS. Krista Bain Blaylock, N.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- N.P.
- Enumeration Date
- Nov 17, 2010
- Last Updated
- Aug 21, 2015
Practice Location
- Address
- 332 HIGHWAY 12 W
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-3209
- Phone
- (662) 289-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Clinical Nurse Specialist - Family Health — Family Health |
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