Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Bostick

Individual provider Physician Assistant · NPI 1053267062

Blake Bostick is a Physician Assistant in Clinton, Mississippi. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

200 Capitol St
Clinton, MS 39056-4026
Phone: (601) 925-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1053267062
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 10, 2026
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address200 Capitol St, Clinton, MS 39056-4026

Other providers in Clinton