Individual
JESSICA BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2322 HIGHWAY 43 S, PICAYUNE, MS 39466-7324
(796) 242-2525
Mailing address
232 HIGHWAY 43 S, PICAYUNE, MS 39466-7982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163
MS
163W00000X
Registered Nurse
Primary
NA
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
MS
01
—
NONE
NO INSURANCE
—
Enumeration date
05/09/2019
Last updated
05/09/2019
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