Individual
AMANDA J GALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6300 E LAKE BLVD STE 201, VANCLEAVE, MS 39565
(228) 230-2663
(228) 546-3257
Mailing address
6300 E LAKE BLVD STE 301, VANCLEAVE, MS 39565-6771
(228) 230-2663
(228) 546-3257
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R884983
MS
363L00000X
Nurse Practitioner
Primary
901566
MS
Other
Enumeration date
06/06/2016
Last updated
04/18/2023
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