MRS. LISA GRAHAM BLESSE (NPI# 1508962101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508962101 |
| Entity Type | Individual |
| Full Name | MRS. LISA GRAHAM BLESSE |
| Credential | FNP |
| Practice Address |
1101 Highway 11 S Ellisville MS 39437-4443 |
| Mailing Address |
14 Mapleridge St Hattiesburg MS 39402-8864 |
| Practice Telephone | 6014775795 |
| Practice Fax Number | 6014775895 |
| Mailing Telephone | 6012718857 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R842124 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00125048 | 05 |
| Street Address |
1101 HIGHWAY 11 S |
| City | ELLISVILLE |
| State | MS |
| Zip Code | 39437-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255364337 | Joseph Rodney Moring | Emergency Medicine | 1101 Highway 11 S, Ellisville, MS 39437-4443 | 2006-07-09 |
| 1700125895 | Breanna L Bonner | Nurse Practitioner | 1101 Highway 11 S, Ellisville, MS 39437-4443 | 2013-02-08 |
| 1992865653 | Home Community Base Waiver - Ess | Technician | 1101 Highway 11 S, Ellisville, MS 39437-4443 | 2006-12-11 |
| 1164582821 | Ellisville State School | Technician | 1101 Highway 11 S, Ellisville, MS 39437-4443 | 2006-12-11 |
| 1306914700 | Hillside | Nursing Facility/Intermediate Care Facility | 1101 Highway 11 S, Ellisville, MS 39437-4443 | 2006-12-01 |
| 1205904604 | Pecan Grove | Nursing Facility/Intermediate Care Facility | 1101 Highway 11 S, Ellisville, MS 39437-4443 | 2006-12-01 |
| 1598833998 | Paul D. Cotten | Nursing Facility/Intermediate Care Facility | 1101 Highway 11 S, Ellisville, MS 39437-4443 | 2006-12-01 |
| 1013085414 | Ellisville State School Dental | Dentist | 1101 Highway 11 S, Ellisville, MS 39437-4443 | 2006-12-01 |
| 1578668901 | Ellisville State School | Pharmacy | 1101 Highway 11 S, Ellisville, MS 39437-4443 | 2006-09-13 |
| 1720181191 | Ellisville State School | Health Maintenance Organization | 1101 Highway 11 S, Ellisville, MS 39437-4443 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227759 | Courtney J. Sims | Nurse Practitioner | 80 Hal Crocker Road, Ellisville, MS 39437 | 2020-02-19 |
| 1891228581 | Magnolia Gardens Assisted Living | Assisted Living Facility | 303 East Ivy, Ellisville, MS 39437 | 2017-04-10 |
| 1972851814 | Dental Group of Ellisville, Pllc | Dentist | 97 Hal Crocker Road, Ellisville, MS 39437 | 2012-08-27 |
| 1891920518 | Amy E Young | Speech-Language Pathologist | 471 Hwy 590, Ellisville, MS 39437 | 2009-05-26 |
| 1053486852 | Natalia Angelia Stevenson | Nurse Practitioner | Ellisville State School, 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-11-21 |
| 1831275189 | Womens Pavilion of South Mississippi, Pllc | Obstetrics & Gynecology | 1242 Hwy 29 North, Ellisville, MS 39437 | 2006-10-30 |
| 1861578635 | Jennifer Reeder Mascagni | Nurse Practitioner | 1203 Ave B Ste 200, Ellisville, MS 39437 | 2006-10-27 |
| 1851499982 | Kathleen Frances Mccoy | Physical Therapist | 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-09-20 |
| 1861498610 | Patricia A. Tibbs | Pediatrics | 1203 Avenue B, Ellisville, MS 39437 | 2005-06-27 |
| 1700954765 | Shelia Dianne Bradford | Nurse Practitioner | 1203 Avenue B, Ellisville, MS 39437 | 2006-11-30 |
| Find all providers in zip 39437 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1699389189 | Lindsay Ranae Pell | Nurse Practitioner | 305 Hill St, Ellisville, MS 39437-2521 | 2020-09-02 |
| 1851773865 | Mary Guion Brock | Nurse Practitioner | 124 Bonnybridge Ct, Ellisville, MO 63021-4507 | 2015-06-25 |
| 1326457151 | Lacey Blakeney | Nurse Practitioner | 1242 Highway 29 N, Ellisville, MS 39437-8763 | 2014-08-06 |
| 1053486852 | Natalia Angelia Stevenson | Nurse Practitioner | Ellisville State School, 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-11-21 |
| 1861578635 | Jennifer Reeder Mascagni | Nurse Practitioner | 1203 Ave B Ste 200, Ellisville, MS 39437 | 2006-10-27 |
| 1336746569 | Jennifer Sharon Isenberg | Nurse Practitioner | 16111 Manchester Rd Ste 202, Ellisville, MO 63011-2489 | 2020-10-01 |
| 1467092783 | Jesse Lee Lawson | Nurse Practitioner | 233 Clarkson Rd, Ellisville, MO 63011-2219 | 2020-01-15 |
| 1376196162 | Betsey Marie Steimel | Nurse Practitioner | 15846 Manchester Rd, Ellisville, MO 63011-2208 | 2019-07-20 |
| 1104338268 | Audrey Heath | Nurse Practitioner | 233 Clarkson Rd, Ellisville, MO 63011-2219 | 2017-10-30 |
| Find all providers in ELLISVILLE | ||||
| City | ELLISVILLE |
| Zip Code | 39437 |
Please comment or provide details below to improve the information on MRS. LISA GRAHAM BLESSE.
| 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.