Individual provider · Type 1 NPI
Blaise Fondren
Family Nurse Practitioner · Oxford, MS
NPI number
1679341630
Active
Practice location
2222 Jackson Ave W
Oxford, MS 38655-5409
Mailing address
420 Live Oak Dr
Oxford, MS 38655-2962
Other practice locations
- 420 N Main St, Water Valley, MS 38965-2506 · (662) 473-5273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 899036 (MS) |
| Family Nurse Practitioner | 363LF0000X | 36596 (TN) |
| Family Nurse Practitioner Primary | 363LF0000X | 906484 (MS) |
Family Nurse Practitioner: Definition to come...
6 other providers at this address
- Boa Vida Hospital of Aberdeen, MS LLCRural Health Clinic/Center Oxford, MS NPI 1518751288
- Webb Family Medical Clinic PLLCFamily Medicine Physician Oxford, MS NPI 1568158913
- Anderson Eleanor North, APRNFamily Nurse Practitioner Oxford, MS NPI 1720676992
- Laney Elizabeth Brock, FNP-BCFamily Nurse Practitioner Oxford, MS NPI 1508639907
- Lauren Elizabeth Edwards, FNP-CFamily Nurse Practitioner Oxford, MS NPI 1083598080
- Mary Lela Valentine Vonder Haar, PAPhysician Assistant Oxford, MS NPI 1851800353
Other family nurse practitioner providers in Oxford
- Rachel Jamison Sledge, FNP-CFamily Nurse Practitioner Oxford, MS NPI 1003114257
- Chastity H. Heath, NPFamily Nurse Practitioner Oxford, MS NPI 1003205857
- Katherine Waters Shields, NPFamily Nurse Practitioner Oxford, MS NPI 1023527017
- Casey Tramel, FNPFamily Nurse Practitioner Oxford, MS NPI 1033871439
- Olivia Babb Cooper, FNPFamily Nurse Practitioner Oxford, MS NPI 1043793672
- Michelle Cullen, F.N.P.Family Nurse Practitioner Oxford, MS NPI 1063645166
- Tammy L. Pelegrin, NPFamily Nurse Practitioner Oxford, MS NPI 1073893624
- Elizabeth Starr Padgett, MSN, APRN, FNP-CFamily Nurse Practitioner Oxford, MS NPI 1083525158
About NPI 1679341630
Blaise Fondren's National Provider Identifier is 1679341630, issued on Dec 19, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oxford, MS. The record was last updated on Jul 28, 2025.