Individual
MRS. BETHANY AUTRY ROBINETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10556 HIGHWAY 49, GULFPORT, MS 39503-4109
(228) 539-2399
Mailing address
116 CLOVER LN, CANTON, MS 39046-8842
(601) 502-6042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901628
MS
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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