Blair A. Comans, FNP
Individual provider Active NPI Family Nurse Practitioner · Decatur, MS
NPI 1306146352 · NPPES record last updated Nov 14, 2013
Key facts
- NPI
- 1306146352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R874299 (MS)
- Practice address
- 14884 Hwy 15
Decatur, MS 39327 - Phone
- (601) 635-2258
- Fax
- (601) 635-2259
- NPI assigned
- Oct 25, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R874299 | MS | Yes |
Addresses
Primary practice location
14884 Hwy 15
Decatur, MS 39327
Mailing address
PO Box 2106
Meridian, MS 39302-2106
Phone (601) 635-2258
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06072763 | Medicaid | MS |
Other names
- Blair Adean Anderson
Other providers in Decatur, MS
- Krista Anthony
- Brandi R Barnes
- Deborah D. Boggan
- James Cary Bradshaw
- Freddie Carter
- Decatur Dental, LLC
- Decatur Drugs Inc
- Decatur Drugs Inc
- Elite Physical Therapy and Wellness, Inc.
- Andrew Harris
All providers in Decatur, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.