Individual
AMANDA BRAND MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1002 E MADISON ST, HOUSTON, MS 38851-2428
(662) 456-1015
(662) 456-1094
Mailing address
1002 E MADISON ST, HOUSTON, MS 38851-2428
(662) 456-1015
(662) 456-1094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902944
MS
Other
Enumeration date
09/20/2018
Last updated
04/07/2021
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