Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fred Allen Rayburn Jr., FNP-BC

Individual provider Family Nurse Practitioner · NPI 1700437076

Fred Allen Rayburn Jr., FNP-BC is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2019, 7 years ago. Practices with Nephrology and Hypertension Associates Ltd, a 19-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

848 S Madison St
Tupelo, MS 38801-4905
Phone: (662) 844-4177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903556 (MS)

Record details

NPI number1700437076
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedSeptember 26, 2019
Last updated in NPPESSeptember 26, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Nephrology And Hypertension Associates Ltd — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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