Individual
REBECCA ANN RAYBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
120 E MYRTLE ST, MAGNOLIA, MS 39652-2834
(601) 869-7330
(601) 783-5812
Mailing address
1165 DEERFIELD, SUMMIT, MS 39666-8124
(601) 869-7330
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905970
MS
Other
Enumeration date
04/18/2023
Last updated
01/30/2024
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