Individual
MRS. LINDA THERESA BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1199 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-9363
Mailing address
301 47TH ST, GULFPORT, MS 39507-4314
(228) 343-9021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R649406
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08926059
—
MS
Enumeration date
11/13/2006
Last updated
08/18/2015
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