Individual
TERESA RAYBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3248 HIGHWAY 49, COLLINS, MS 39428-3877
(601) 765-6834
(601) 765-6837
Mailing address
PO BOX 24116, JACKSON, MS 39225-4116
(601) 825-7280
(601) 825-8130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R746931
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119934
—
MS
01
—
P00872423
RAILROAD MEDICARE
MS
Enumeration date
12/28/2005
Last updated
04/16/2026
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