Ward, Blakeley

Ward, Blakeley is an individual health care provider with primary practice located at 2500 N State St Pfs, Jackson MS 39216-4500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ward, Blakeley can be contacted via phone (601) 984-4619.

Contact Information

Primary practice address
2500 N State St Pfs Jackson MS 39216-4500
Phone: (601) 984-4619
Fax: (601) 984-4657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R858198 Mississippi

Profile Details

NPI number 1184675571
LBN Legal business name Ward, Blakeley
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Nov 2nd, 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 1184675571 NPPES
Mississippi MEDICAID 09136271
Mississippi Other P00793035

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