Lenora Jean Bayes, APRN, BC, FNP
Individual provider Active NPI Nurse Practitioner · Gulfport, MS
NPI 1063436632 · NPPES record last updated Mar 10, 2014
Key facts
- NPI
- 1063436632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R791034 (MS)
- Practice address
- 1102 45TH Ave
Gulfport, MS 39501-2504 - Phone
- (228) 863-1036
- Fax
- (228) 867-6185
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stone County Hospital, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R791034 | MS | Yes |
Addresses
Primary practice location
1102 45TH Ave
Gulfport, MS 39501-2504
Mailing address
1102 45TH Ave
Gulfport, MS 38501
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0117523 | Medicaid | MS |
Other providers in Gulfport, MS
- Rebecca Branton Bass
- Korilyn Celest Baudoin
- Debra B Baxter
- Katrina Baxter
- Bay Breeze Dental Group
- Sara Lynn Baylor
- Tania Georgieva Bayne
- Beach Pharmacy Inc
- Beach Pharmacy Inc
- Beach View Dental Sleep Therapy
All providers in Gulfport, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.