Organization
AMBER HILL AGNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER HILL AGNP (MEMBER)
(662) 897-6090
Entity
Organization
Contact information
Practice address
2954 AINSWORTH LN, SOUTHAVEN, MS 38672-7028
(662) 897-6090
Mailing address
2954 AINSWORTH LN, SOUTHAVEN, MS 38672-7028
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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