Blethen, Wendy Nicole

Blethen, Wendy Nicole is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Blethen, Wendy Nicole can be contacted via phone (601) 984-5262.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R862823 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X ARNP9391501 Florida

Profile Details

NPI number 1174568752
LBN Legal business name Blethen, Wendy Nicole
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Feb 3rd, 2016 - about 9 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 1174568752 NPPES
Mississippi MEDICAID 08577001

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