SearchMississippi363LF0000X

Blake Bandre, FNP-C

NPI 1538589601 · on the registry since 2014 · sole proprietor

Practice

Address
495 S Gloster St Ste 201
Tupelo, MS 38801
Phone
(662) 401-9996
Fax
(662) 214-6050
Clinicians at this address
2

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi