Individual
AMBER S RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10330 ROAD 375, PHILADELPHIA, MS 39350-3249
(601) 656-0226
(601) 389-6759
Mailing address
10330 ROAD 375, PHILADELPHIA, MS 39350-3249
(601) 656-0226
(601) 389-6759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R877207
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050524
—
MS
Enumeration date
01/22/2013
Last updated
07/22/2015
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