Individual
AMANDA DANIELLE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 484-6700
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP09471
LA
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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