Individual
CARMEN BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 N COURT AVE, LOUISVILLE, MS 39339-2327
(601) 815-2060
Mailing address
1524 MILL CREEK RD, LOUISVILLE, MS 39339-8742
(662) 803-2226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F09170015
MS
363LF0000X
Family Nurse Practitioner
Primary
F09170015
MS
Other
Enumeration date
12/11/2017
Last updated
12/14/2023
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