Individual provider · Type 1 NPI
Susan E. Blakeney, FNP
Family Nurse Practitioner · Hattiesburg, MS
NPI number
1891709572
Active
Practice location
415 S 28th Ave
Hattiesburg, MS 39401-7246
Fax (601) 268-5777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | R724653 (MS) |
| Family Nurse Practitioner Primary | 363LF0000X | 724653 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1891709572
Susan E. Blakeney, FNP's National Provider Identifier is 1891709572, issued on Jul 28, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 23, 2020.