Individual
MRS. RUTH BIBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4428 S EASON BLVD, TUPELO, MS 38801-6506
(662) 234-7601
Mailing address
1203 MEDICAL PARK DR, OXFORD, MS 38655-5327
(662) 234-7601
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
904420
MS
Other
Enumeration date
02/10/2021
Last updated
02/25/2021
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