Healthcare Provider Details

I. General information

NPI: 1588491237
Provider Name (Legal Business Name): CHRISTY LYNN BURNS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 CITY MARKET DR
SALTILLO MS
38866-7002
US

IV. Provider business mailing address

118 FAIRFIELD DR
NEW ALBANY MS
38652-3107
US

V. Phone/Fax

Practice location:
  • Phone: 662-534-0898
  • Fax: 662-534-8905
Mailing address:
  • Phone: 662-534-0898
  • Fax: 662-534-8905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number906938
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: