person
Fred Allen Rayburn JR., FNP-BC
Family Nurse Practitioner in Tupelo, Mississippi
NPI 1700437076

Fred Allen Rayburn JR. is a Family Nurse Practitioner based in Pontotoc, MS and is specialized in Family. Fred Allen Rayburn JR. practices in Tupelo, MS and has the professional credentials of FNP-BC. The NPI Number for Fred Allen Rayburn JR. is 1700437076 and holds a License No. 903556 (Mississippi).

The current practice location address for Fred Allen Rayburn JR. is 848 S Madison St, Tupelo, MS and can be reached out via phone at 662-844-4177.

Location: 848 S Madison St, Tupelo, MS, 38863-7080
person
Provider Profile Details
NPI Number
1700437076
Provider Name
Fred Allen Rayburn JR.
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
848 S Madison St, Tupelo, MS, 38863-7080
Phone Number
662-844-4177
Fax Number
Provider Enumeration Date
09/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
848 S Madison St
City
State
Zip
38801-4905
Phone Number
662-844-4177
Fax Number
person
Provider Business Mailing Address Details
Address
848 S Madison St
City
State
Zip
38801-4905
Phone Number
662-844-4177
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
903556 (Mississippi)
Definition
Definition to come...
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