| Leisha Monette Blaylock, FNP-C | |
|
2202 Us Highway 380, Suite 112, Bridgeport, TX 76426-2176 | |
| (940) 683-2338 | |
| (940) 683-2394 |
| Full Name | Leisha Monette Blaylock |
|---|---|
| Gender | Female |
| Speciality | |
| Experience | Years |
| Location | 2202 Us Highway 380, Bridgeport, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083018063 | NPI | - | NPPES |
| 8397NM | Other | TX | BCBS |
| 342225501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP126686 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Leisha Monette Blaylock, FNP-C Po Box 2078, Decatur, TX 76234 Ph: (940) 683-2338 | Leisha Monette Blaylock, FNP-C 2202 Us Highway 380, Suite 112, Bridgeport, TX 76426-2176 Ph: (940) 683-2338 |
Whitney Victoria Miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2202 Us Highway 380, Suite #112, Bridgeport, TX 76426 Phone: 940-683-2338 Fax: 940-683-2394 | |
Kaye Puckett, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2202 Us Highway 380 Ste 112, Bridgeport, TX 76426 Phone: 940-683-2338 Fax: 940-683-2394 | |
Mr. Alexander Lee Pendergrass, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 817-966-2960 |