Healthcare Provider Details

I. General information

NPI: 1134004831
Provider Name (Legal Business Name): BRITTNEY M. BOND FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTNEY M. JONES

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 STONE CREEK BLVD
FLOWOOD MS
39232-8205
US

IV. Provider business mailing address

11 MCBRIAR
PURVIS MS
39475-5605
US

V. Phone/Fax

Practice location:
  • Phone: 769-243-6141
  • Fax: 601-510-1665
Mailing address:
  • Phone: 601-408-8386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number907487
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: