Individual
RAELYNNE PUTMAN TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-2395
Mailing address
189 COUNTY ROAD 14, HOULKA, MS 38850-9638
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
888765
MS
363LF0000X
Family Nurse Practitioner
Primary
908342
MS
Other
Enumeration date
03/27/2026
Last updated
04/15/2026
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