Organization
MISSISSIPPI NURSE PRACTITIONERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M BYRD NP (OWNER)
(601) 941-5497
Entity
Organization
Contact information
Practice address
441 KINGSBRIDGE RD, MADISON, MS 39110-7644
(601) 941-5497
(601) 866-7773
Mailing address
441 KINGSBRIDGE RD, MADISON, MS 39110-7644
(601) 941-5497
(601) 866-7773
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R652075
MS
363LP2300X
Primary Care Nurse Practitioner
Primary
R652075
MS
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
Update your record
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