Individual
AMANDA DIANNE DOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 S FRONTAGE RD STE 107, VICKSBURG, MS 39180-5882
(601) 654-7070
(601) 636-6233
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
(985) 892-7017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905868
MS
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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