| Doctor Name: | MRS. IYABO O ADEBIYI |
| NPI Number: | 1053633677 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 0123456 |
| Business Practice Address: | 900 Stark Rd Starkville, MS - 397593613 |
| Business Phone Number: | 6623235033 |
| Business Fax Number: | 6623235053 |
| Mailing Address: | 900 Stark Rd, STARKVILLE |
| State: | MS |
| Postal Code: | 397593613 |
| Phone Number: | 6623235033 |
| Fax Number: | 6623235053 |
| NPI Enumeration Date: | 02/23/2010 |
| NPI Last Update Date: | 02/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 0123456 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |