Search › Mississippi › 363LF0000X
Fred Rayburn, FNP - BC
NPI 1700437076 · on the registry since 2019 · sole proprietor
Practice
- Address
- 848 S Madison St
Tupelo, MS 38801 - Phone
- (662) 844-4177
- Organisation at this address
- Midnight-Medical, Inc.
Welch Family Pharmacy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi