Individual
MRS. AMANDA CORRINE YAWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7001 HIGHWAY 614, MOSS POINT, MS 39562
(228) 588-6622
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R889927
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00056261
—
MS
Enumeration date
09/25/2014
Last updated
08/04/2022
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