Individual
MRS. LOUELLA M. EDWARDS-FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
8541 HIGHWAY 178 STE C, BYHALIA, MS 38611-9670
(662) 850-3002
(877) 583-5013
Mailing address
8541 HIGHWAY 178 STE C, BYHALIA, MS 38611-9670
(662) 850-3002
(877) 583-5013
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
904052
MS
363LF0000X
Family Nurse Practitioner
28066
TN
363LF0000X
Family Nurse Practitioner
Primary
904052
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28066
ADVANCE PRACTIVE TN LIC
TN
01
—
904052
ADVANCE PRACTICE
MS
Enumeration date
10/27/2010
Last updated
08/26/2025
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