Individual
AMANDA WILKINS MISSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 BRANDON RD, STARKVILLE, MS 39759-2521
(662) 615-3771
(662) 615-3775
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904241
MS
Other
Enumeration date
02/25/2019
Last updated
10/06/2025
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