Individual
AMANDA HOUSTON TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
4381 S EASON BLVD STE 203, TUPELO, MS 38801-6557
(662) 377-5199
(662) 377-5301
Mailing address
4381 S EASON BLVD., STE. #203, TUPELO, MS 38801
(662) 377-5199
(667) 377-5301
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
902537
MS
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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