Individual
BOB AMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
601 FOOTE ST, CORINTH, MS 38834-4834
(662) 287-4424
(662) 287-2070
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-9883
(662) 286-9836
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R685844
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R685844
MS
MS
Enumeration date
08/02/2010
Last updated
08/02/2010
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