Individual
BENDAN BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
501 AZALEA DR. SUITE F, WAYNESBORO, MS 39367
(601) 735-3737
(601) 735-3733
Mailing address
501 AZALEA DR. SUITE F, WAYNESBORO, MS 39367
(601) 735-3737
(601) 735-3733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R871239
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06608851
—
MS
Enumeration date
08/04/2010
Last updated
04/17/2019
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