Individual
MRS. AMANDA NELSON BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2215 JEFFERSON DAVIS DR, OXFORD, MS 38655-5221
(662) 638-0462
Mailing address
1674 RANCHLAND RD, BELDEN, MS 38826-9634
(662) 816-2391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905143
MS
Other
Enumeration date
03/30/2022
Last updated
07/06/2023
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