Bladsacker, Nancy G.
Bladsacker, Nancy G. is an individual health care provider with primary practice located at 4502 Old Pass Rd , Gulfport MS 39501-2585. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Bladsacker, Nancy G. can be contacted via phone (228) 863-9977.Contact Information
Primary practice address
4502 Old Pass Rd
Gulfport MS 39501-2585
Phone: (228) 863-9977
Fax: (228) 863-9912
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R678341 | Mississippi |
Other Service Providers / Midwife | 176B00000X | R678341 | Mississippi |
Profile Details
NPI number | 1336309921 |
---|---|
LBN Legal business name | Bladsacker, Nancy G. |
Credentials | DNP, FNP-BC, CNM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2008 |
Last updated | Nov 17th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336309921 | NPPES |
Mississippi | MEDICAID | 09289359 |
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