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
Fax: (228) 863-9912
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336309921 NPPES
Mississippi MEDICAID 09289359

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