Individual
MARY LINDA BYNDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2130 JACKSON AVE, JACKSON, MO 63755-1644
(573) 243-2154
(573) 243-3400
Mailing address
2846 WHITENER ST, APT B4, CAPE GIRARDEAU, MO 63701-8314
(573) 334-2586
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN116998
MO
363LF0000X
Family Nurse Practitioner
Primary
20518
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428312409
—
MO
Enumeration date
12/14/2005
Last updated
11/05/2015
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