Individual
DARBY RAYBOURN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
128 RIVERVIEW DR, RICHLAND, MS 39218
(601) 326-1960
(601) 326-1706
Mailing address
128 RIVERVIEW DR, RICHLAND, MS 39218
(601) 326-1960
(601) 326-1706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906108
MS
Other
Enumeration date
09/13/2023
Last updated
10/02/2025
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