Individual
AMANDA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2200 JEFFERSON HWY, JEFFERSON, LA 70121-3822
(504) 837-3144
Mailing address
32 SWITCH RD, CARRIERE, MS 39426-8953
(601) 337-1921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
239418
LA
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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