Organization · Type 2 NPI

Rebourne Aesthetics & Wellness

Family Nurse Practitioner · Ridgeland, MS

NPI number 1053017806 Active

Practice location

720 Avignon Dr Ste 2
Ridgeland, MS 39157-5166

Call (601) 503-0335 Map

Mailing address

161 Woodland Dr
Madison, MS 39110-8751

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1053017806

Rebourne Aesthetics & Wellness's National Provider Identifier is 1053017806, issued on Feb 3, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ridgeland, MS. The record was last updated on Feb 3, 2023.