MEDICARE: MRS. RUTH BIBEAU APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	904420	MS

General Provider Information

NPI Number	:	1851983704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RUTH BIBEAU APRN

Provider Business Mailing Address
First Line	:	1203 MEDICAL PARK DR
Second Line	:
City	:	OXFORD
State	:	MS
Zip	:	38655-5327
Country	:	US
Telephone Number	:	662-234-7601
Fax Number	:

Provider Business Practice Location Address
First Line	:	4428 S EASON BLVD
Second Line	:
City	:	TUPELO
State	:	MS
Zip	:	38801-6506
Country	:	US
Telephone Number	:	662-234-7601
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2021
Last Update Date	:	02/25/2021

Similar Medicare Providers

1376572123 — DR. CHARLES KENNETH LIPPINCOTT
Practice Location Address:

4428 SOUTH EASON BOULEVARD , SUITE A
TUPELO, MS
38801-6506

Practice Phone: 662-844-3739
Practice Fax: 662-844-3728

1386673036 — KEN LIPPINCOTT, M.D., P.A.
Practice Location Address:

4428 SOUTH EASON BOULEVARD , SUITE A
TUPELO, MS
38801-6506

Practice Phone: 662-844-3739
Practice Fax: 662-844-3728

1174640643 — DR. ROBERT BRYSON IRWIN M.D.
Practice Location Address:

4428 S EASON BLVD , STE 1
TUPELO, MS
38801-6506

Practice Phone: 662-844-5080
Practice Fax: 662-680-6958

1356757678 — MRS. MAE GRACE ARRINGTON LCSW
Practice Location Address:

4428 S EASON BLVD STE B
TUPELO, MS
38801-6506

Practice Phone: 662-234-7601
Practice Fax:

1003773862 — WESLEY B BRUCE
Practice Location Address:

830 S GLOSTER ST
TUPELO, MS
38801-4934

Practice Phone: 662-377-3000
Practice Fax:

1801765250 — MRS. SHANE MARIE CARTER FNP-BC
Practice Location Address:

830 S GLOSTER ST
TUPELO, MS
38801-4934

Practice Phone: 662-377-6609
Practice Fax: 662-377-6614

Directions to “ MRS. RUTH BIBEAU APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.