Individual
MRS. DEONNA MICHELLE BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
126 MEDICAL DRIVE, SUITE B, PALESTINE, TX 75801
(903) 729-2428
Mailing address
126 MEDICAL DRIVE, SUITE B, PALESTINE, TX 75801
(903) 729-2428
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
766930
TX
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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