Individual
AMANDA BRITTANY BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1000
Mailing address
3975 I 55 N APT V2, JACKSON, MS 39216-3726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903268
MS
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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