Sylvia Blanchard
Nurse Practitioner (Family)

Address: 109 Park Gate Ext, Tupelo, MS 38801-3038
Phone: 6628404175

Sylvia Blanchard (NPI# 1770595084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1770595084
Entity Type Individual
Full Name Sylvia Blanchard
Credential CFNP
Gender Female
Practice Address 109 Park Gate Ext
Tupelo
MS 38801-3038
Practice Telephone 6628404175
Mailing Address 109 Park Gate Ext
Tupelo
MS 38801-3038
Mailing Telephone 6628404175
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-08-13
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers R729086 MS

Other Provider Identifier

State Identifier Issuer Type Code
MS 00124764 MEDICAID

Other Providers SYLVIA BLANCHARD

NPI Name Taxonomy Address Enumeration
1851581276 Sylvia A Blanchard Licensed Practical Nurse 164 Pennsylvania Ave, Brooklyn, NY 11207 2007-08-01

Physician Overview

NPI 1770595084
PAC ID by PECOS 7911972757
Professional Enrollment ID I20041208000792
Full Name Sylvia Blanchard
Gender F
Credential NP
Graduation Year 2000
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250004 NORTH MISSISSIPPI MEDICAL CENTER

Office Location

Street Address 109 PARK GATE EXT
City TUPELO
State MS
Zip Code 38801-3038

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528522588 Kristen Marie Loden Nurse Practitioner 109 Park Gate Ext, Tupelo, MS 38801-3038 2019-01-24
1437210457 Family Care Medical Clinic, LLC Nurse Practitioner 109 Park Gate Ext, Tupelo, MS 38801-3038 2006-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821556838 Wilco Healthcare of North Mississippi, Pllc Point of Service 1514 Co Rd 41, Tupelo, MS 38801 2019-03-08
1093287369 Pakmeds Pharmacy and Consulting, LLC Pharmacy 5060 Raymond Avenue, Tupelo, MS 38801 2018-12-26
1073092326 Lauren Parrish Nurse Practitioner 1573 Medical Park Circle, Tupelo, MS 38801 2018-08-08
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1285129197 Lori Mize Nurse Practitioner 499 Gloster Creek Vlg Ste D1, Tupelo, MS 38801 2018-06-25
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1073035903 Annette C Riddle Counselor 1004 Eisenhower Drive, Tupelo, MS 38801 2017-07-12
1073975611 Heath Bryan Coleman of Mississippi, Dds, Pllc Dentist 1168 Cross Creek Drive, Tupelo, MS 38801 2016-03-23
1992177463 Rhonda Von Strahl Nurse Practitioner 830 North Gloster St, Tupelo, MS 38801 2015-10-23
1649648189 Valerie Faye Sullivan Pharmacist 2800 West Main Street, Senior Rx, Tupelo, MS 38801 2015-09-14
Find all providers in zip 38801

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457834913 Whitney Tate Nurse Practitioner 1927b Briar Ridge Rd, Tupelo, MS 38804-5963 2018-09-11
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1285129197 Lori Mize Nurse Practitioner 499 Gloster Creek Vlg Ste D1, Tupelo, MS 38801 2018-06-25
1992234959 Pro Health Clinic,llc Nurse Practitioner 4127 W Main St, Tupelo, MS 38801-8129 2017-06-05
1053845610 Precious Montgomery Nurse Practitioner 173 Carr Vista Rd, Tupelo, MS 38801-8604 2017-04-20
1477907616 Lisa Collums Rhea Nurse Practitioner 159 Gum Tree Run, Tupelo, MS 38801-8649 2016-04-13
1528465424 Advanced Diabetes Management Center LLC Nurse Practitioner 449 Gloster Creek, Suite H-9, Tupelo, MS 38801-0000 2014-11-21
1316373038 Teresa Gail Harris Nurse Practitioner 830 S Gloster St Fl 1, Tupelo, MS 38801-4934 2013-09-26
1699051508 Angela Sima Clegg Nurse Practitioner 942 Commonwealth Blvd, Tupelo, MS 38804-9762 2011-10-25
1427299213 Kathi Ann Hood Tomsky Nurse Practitioner 2071 S Green St, Tupelo, MS 38804-6512 2009-03-09
Find all providers in TUPELO

Competitor

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City TUPELO
Zip Code 38801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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