Individual provider · Type 1 NPI

Poyu Bamby Petty, FNP

Family Nurse Practitioner · New Albany, MS

NPI number 1689450520 Active

Practice location

216 Oxford Rd
New Albany, MS 38652-3115

Fax (662) 534-9707

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X906331 (MS)
Hospice Registered Nurse 163WH1000XR879298 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1689450520

Poyu Bamby Petty, FNP's National Provider Identifier is 1689450520, issued on Sep 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Albany, MS. The record was last updated on Feb 3, 2026.