Individual
MRS. BETHANY JANETTE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7215 S SIWELL RD, BYRAM, MS 39272-9776
(601) 373-2204
(601) 373-4413
Mailing address
7215 S SIWELL RD, BYRAM, MS 39272-9776
(601) 373-2204
(601) 373-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R866714
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098-23-097
—
MS
Enumeration date
07/17/2008
Last updated
02/12/2013
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