Individual
AMANDA CHAPPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
201 HIGHWAY 51 N STE A, BROOKHAVEN, MS 39601-2653
(601) 515-4949
Mailing address
322 NOBLE DR, BROOKHAVEN, MS 39601-3628
(601) 316-0600
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
MS
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
904670
MS
Other
Enumeration date
06/07/2021
Last updated
09/16/2021
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