Adam K Blanks, FNP
Nurse Practitioner in Jackson, MS. Individual provider (NPI-1).
NPI number1801051925
StatusActive
Last updated in NPPESFeb 8, 2016
Details
- NPI
- 1801051925
- Entity type
- Individual (NPI-1)
- Name
- Mr. Adam K Blanks
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2008
- Last updated
- Feb 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 860496 | MS | Yes |
Practice location
1225 N State StJackson, MS 39202-2064
Phone 601-968-1000
Mailing address
Po Box 23090Jackson, MS 39225-3090
Phone 866-916-5259
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