Individual
AMY MARIE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 N STATE ST STE 200, JACKSON, MS 39202-1689
(601) 326-3900
(601) 326-3903
Mailing address
1600 N STATE ST STE 200, JACKSON, MS 39202-1689
(601) 326-3900
(601) 326-3903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906741
MS
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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