Blaylock, Krista Bain

Blaylock, Krista Bain is an individual health care provider with primary practice located at 332 Highway 12 W , Kosciusko MS 39090-3209. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Blaylock, Krista Bain can be contacted via phone (662) 289-1800.

Contact Information

Primary practice address
332 Highway 12 W Kosciusko MS 39090-3209
Phone: (662) 289-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R863824 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X R863824 Mississippi

Profile Details

NPI number 1609178094
LBN Legal business name Blaylock, Krista Bain
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2010
Last updated Aug 21st, 2015 - about 10 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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