Individual
MS. LENORA JEAN BAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC, FNP
Contact information
Practice address
1102 45TH AVE, GULFPORT, MS 39501-2504
(228) 863-1036
(228) 867-6185
Mailing address
1102 45TH AVE, GULFPORT, MS 38501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R791034
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117523
—
MS
Enumeration date
07/27/2006
Last updated
03/10/2014
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