Individual
MRS. AMANDA HENSON GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2080 S FRONTAGE RD STE 100, VICKSBURG, MS 39180-5883
(601) 262-1000
(601) 630-9980
Mailing address
2080 S FRONTAGE RD STE 100, VICKSBURG, MS 39180-5883
(601) 262-1000
(601) 630-9980
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902974
MS
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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