Individual
REBECCA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2885 MCCULLOUGH BLVD, BELDEN, MS 38826
(662) 269-2230
(662) 269-2232
Mailing address
PO BOX 353, BELDEN, MS 38826
(662) 269-2230
(662) 269-2232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2004000989
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08836830
—
MS
Enumeration date
08/15/2006
Last updated
05/07/2014
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