Organization
OMNIS SALUS, PLLC
Active
Other names
Omnis Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FONDREN (OWNER/NURSE PRACTITIONER)
(662) 251-7389
Entity
Organization
Contact information
Practice address
7924 HIGHWAY 50 E, COLUMBUS, MS 39702-9592
(662) 251-7389
Mailing address
34 GLENWOOD DR., COLUMBUS, MS 39705
(662) 570-1166
(662) 570-1185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R858548
MS
Other
Enumeration date
04/07/2015
Last updated
09/16/2021
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