Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Teresa Raybourn, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1992782304

Teresa Raybourn, FNP-BC is a Nurse Practitioner in Collins, Mississippi. Qualified in 1998, 28 years ago. Practices with Pine Ridge Family Clinic LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
28
Licensed in
MS
In the registry since
2005
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

3248 Highway 49
Collins, MS 39428-3877
Phone: (601) 765-6834
Fax: (601) 765-6837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R746931 (MS)

Record details

NPI number1992782304
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Pine Ridge Family Clinic Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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