Individual provider · Type 1 NPI

Fred Allen Rayburn Jr., FNP - BC

Family Nurse Practitioner · Tupelo, MS

NPI number 1700437076 Active

Practice location

848 S Madison St
Tupelo, MS 38801-4905

Mailing address

4611 Toxish Rd
Pontotoc, MS 38863-7080

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X903556 (MS)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1700437076

Fred Allen Rayburn Jr., FNP - BC's National Provider Identifier is 1700437076, issued on Sep 26, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tupelo, MS. The record was last updated on Sep 26, 2019.