IndividualActive
Wendy Blethen, NNP-BC
NPI 1174568752 · Neonatal Nurse Practitioner · Jackson, MS
Provider details
- NPI number
- 1174568752
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- R862823 (MS)
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2006-06-18
- Last updated
- 2016-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.