Individual
MRS. IYABO O ADEBIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 STARK RD, STARKVILLE, MS 39759-3613
(662) 323-5033
(662) 323-5053
Mailing address
900 STARK RD, STARKVILLE, MS 39759-3613
(662) 323-5033
(662) 323-5053
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
0123456
MS
163WD0400X
Diabetes Educator Registered Nurse
Primary
0123456
MS
163WN1003X
Nutrition Support Registered Nurse
0123456
MS
163WW0000X
Wound Care Registered Nurse
0123456
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192773
DSMT
MS
Enumeration date
02/23/2010
Last updated
02/23/2010
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