Individual
POYU BAMBY PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
216 OXFORD RD, NEW ALBANY, MS 38652-3115
(625) 534-9042
(662) 534-9707
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
R879298
MS
363LF0000X
Family Nurse Practitioner
Primary
906331
MS
Other
Enumeration date
09/06/2023
Last updated
02/03/2026
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