Individual
AMANDA H NULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2441A COUNTY ROAD 501, RIPLEY, MS 38663-9677
(662) 837-8154
(662) 837-9462
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-9883
(662) 286-9836
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R6091
MS
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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