Organization
LISA BYRD HEALTHCARE INC
Active
Parent organization
MISSISSIPPI NURSE PRACTITIONERS INC
Other names
Bolton Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSISSIPPI NURSE PRACTITIONERS INC
Authorized official
LISA BYRD CFNP (PRESIDENT)
(601) 866-7723
Entity
Organization
Contact information
Practice address
115 W MADISON ST, BOLTON, MS 39041-3209
(601) 866-7723
(601) 866-7773
Mailing address
PO BOX 217, BOLTON, MS 39041-0217
(601) 866-7723
(601) 866-7773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R652075
MS
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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