Individual
AMANDA KIMBRELL PURSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1200 N STATE ST, SUITE 500, JACKSON, MS 39202-2000
(601) 352-2273
(601) 714-3415
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-3205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R859443
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00029267
—
MS
Enumeration date
06/01/2007
Last updated
03/15/2018
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