Individual
AMY HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 STRIBLING LN, BRANDON, MS 39042-6600
(601) 664-7201
Mailing address
2010 HIGHPOINTE DR APT 267, BRANDON, MS 39042-2927
(662) 297-6990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
856737
MS
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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