Individual
AMANDA LEIGH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
609 BRUNSON DR STE B, TUPELO, MS 38801-4948
(662) 432-1097
(833) 707-1951
Mailing address
PO BOX 480, CORINTH, MS 38835-0480
(662) 432-1097
(833) 707-1951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R865619
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R865619
MS
Other
Enumeration date
09/26/2007
Last updated
03/03/2025
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