Organization
MISSISSIPPI NURSE PRACTITIONERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BYRD C.F.N.P. (PRESIDENT)
(601) 866-7723
Entity
Organization
Contact information
Practice address
115 WEST MADISON ST., BOLTON, MS 39041
(601) 866-7723
(601) 866-7773
Mailing address
PO BOX 217, BOLTON, MS 39041-0217
(601) 866-7723
(601) 866-7773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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