| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KRISTEN BLAIR | 1962130294 | 2022-08-14 |
Kristen Blair is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1962130294. Registration indicates Kristen Blair is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Ms. Kristen Blair NP |
| Practice Office Address | 1801 GOVERNMENT ST OCEAN SPRINGS, MS US |
| Practice Office Telephone | 2282006869 |
| Mailing Address | 5720 RIDGE RD OCEAN SPRINGS, MS 395642259 US |
| Business Telephone | 2286973431 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 905440
MS |