Individual
MRS. AMBER LEIGH JANZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1301 N 2ND ST, BOONEVILLE, MS 38829-1028
(662) 728-2071
(662) 728-2077
Mailing address
1301 N 2ND ST, BOONEVILLE, MS 38829-1028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R871985
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02394
MEDICARE GROUP NUMBER
MS
Enumeration date
09/07/2011
Last updated
09/07/2011
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