Mindy Jo Edna Byrd, FNP | |
970 Lakeland Dr Ste 61, Jackson, MS 39216-4634 | |
(662) 552-2512 | |
Not Available |
Full Name | Mindy Jo Edna Byrd |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 970 Lakeland Dr Ste 61, Jackson, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376858761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R876935 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jackson Heart Clinic. P.a. | 0547204091 | 32 |
Kings Daughters Medical Center | 3072575539 | 46 |
Entity Name | Kings Daughters Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174 |
Entity Name | Jackson Heart Clinic. P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659318558 PECOS PAC ID: 0547204091 Enrollment ID: O20050615000346 |
Mailing Address | Practice Location Address |
---|---|
Mindy Jo Edna Byrd, FNP 970 Lakeland Dr, Ste 61, Jackson, MS 39216-4634 Ph: (662) 552-2512 | Mindy Jo Edna Byrd, FNP 970 Lakeland Dr Ste 61, Jackson, MS 39216-4634 Ph: (662) 552-2512 |
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