Individual
AMANDA JO FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-7000
Mailing address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906109
MS
Other
Enumeration date
08/14/2023
Last updated
09/12/2023
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