Individual
AMY LEMLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5678
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5678
(601) 984-2329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903186
MS
Other
Enumeration date
02/13/2019
Last updated
06/04/2020
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