Individual
MRS. AMANDA L FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
951 MATTHEW DRIVE, SUITE# A, WAYNESBORO, MS 39367
(601) 371-2742
(601) 735-7266
Mailing address
951 MATTHEW DRIVE, SUITE# A, WAYNESBORO, MS 39367
(601) 371-2742
(601) 735-7266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R781277
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R781277
ST LICENSE NUMBER
MS
Enumeration date
01/27/2012
Last updated
01/23/2025
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