BLAISE FONDREN
Nurse Practitioner - Family
Active
Individual
NPI: 1679341630
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 899036 (MS) |
| Nurse Practitioner - Family | 363LF0000X | Yes | 906484 (MS) |
Frequently Asked Questions
NPI 1679341630 is the National Provider Identifier for BLAISE FONDREN, a Nurse Practitioner - Family provider located in Oxford, MS. This NPI was enumerated on December 19, 2023.
BLAISE FONDREN practices at 2222 JACKSON AVE W, Oxford, MS 38655.
Quick Facts
- NPI
- 1679341630
- Type
- Individual
- Enumerated
- Dec 19, 2023
- Last Updated
- Jul 28, 2025
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