Individual
MRS. LEANNE TERRELL BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
27 S SIXTH ST # A, BAY SPRINGS, MS 39422-9052
(601) 764-2155
(601) 764-2150
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-3700
(601) 450-2493
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R793779
MS
Other
Enumeration date
04/15/2010
Last updated
12/13/2018
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