Bethany Autry Robinette, NP-C
Nurse Practitioner, Family in Gulfport, MS. Individual provider (NPI-1).
NPI number1043768005
StatusActive
Last updated in NPPESSep 19, 2016
Details
- NPI
- 1043768005
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Bethany Autry Robinette
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2016
- Last updated
- Sep 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 901628 | MS | Yes |
Practice location
10556 Highway 49Gulfport, MS 39503-4109
Phone 228-539-2399
Mailing address
116 Clover LnCanton, MS 39046-8842
Phone 601-502-6042
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