Most Relevant Information
Provider Data
| NPI Number: | 1003405754 |
| Provider Name: | CYNTHIA LYNN BEAN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 904340 |
Most Important Dates
| Enumeration Date: | 01/15/2021 |
| Last Updated: | 04/19/2024 |
Provider Practice Location
1203 JEFFERSON ST
LAUREL
MS
394404354
Practice Location Phone/Fax
| Phone: | 6016492863 |
| Fax: |
Provider Mailing Location
PO BOX 247
LAUREL
MS
394410247
Provider Mailing Phone/Fax
| Phone: | 6014257550 |
| Fax: | 6013996184 |