# MISSISSIPPI NURSE PRACTITIONERS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184861320
- **Authorized official:** LISA M BYRD NP (OWNER)
- **Authorized official phone:** (601) 941-5497

## Contact information

- **Practice address:** 441 KINGSBRIDGE RD, MADISON, MS 39110-7644
- **Practice address phone:** (601) 941-5497
- **Practice address fax:** (601) 866-7773
- **Mailing address:** 441 KINGSBRIDGE RD, MADISON, MS 39110-7644
- **Mailing address phone:** (601) 941-5497
- **Mailing address fax:** (601) 866-7773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | R652075 | MS | — |
| 363LP2300X | Primary Care Nurse Practitioner | R652075 | MS | Yes |

## Other

- **Enumeration date:** 01/09/2009
- **Last updated:** 01/09/2009