Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lisa Byrd Healthcare Inc

Organization Nurse Practitioner · NPI 1164660635

Lisa Byrd Healthcare Inc provides Nurse Practitioner services in Bolton, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 W Madison St
Bolton, MS 39041-3209 Not confirmed with CMS for 17 years — call before visiting
Phone: (601) 866-7723
Fax: (601) 866-7773
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R652075 (MS)

Record details

NPI number1164660635
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMississippi Nurse Practitioners Inc
Authorized official Lisa Byrd — President · (601) 866-7723
Other names Bolton Family Clinic
NPI enumeratedJanuary 22, 2009
Last updated in NPPESJanuary 22, 2009
Mailing addressPo Box 217, Bolton, MS 39041-0217