Individual
AMANDA CHRISTIAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
702 W MAIN ST, TUPELO, MS 38804-3734
(662) 840-4818
Mailing address
702 W MAIN ST, TUPELO, MS 38804-3734
(662) 840-4818
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
896486
MS
363LF0000X
Family Nurse Practitioner
906307
MS
Other
Enumeration date
12/31/2020
Last updated
10/04/2023
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