Individual provider · Type 1 NPI

Lisa Graham Blesse, FNP

Family Nurse Practitioner · Ellisville, MS

NPI number 1508962101 Active

Practice location

1101 Highway 11 S
Ellisville, MS 39437-4443

Fax (601) 477-5895

Mailing address

21 Crestwick Cir
Hattiesburg, MS 39402-8354

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR842124 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1508962101

Lisa Graham Blesse, FNP's National Provider Identifier is 1508962101, issued on Sep 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ellisville, MS. The record was last updated on Mar 9, 2026.