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

Blake Waldrip

Individual provider Internal Medicine Physician · NPI 1093532855

Blake Waldrip is an Internal Medicine Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence T-5999 (MS)

Record details

NPI number1093532855
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026
Mailing address2500 N State St, Jackson, MS 39216-4500

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