Individual
AMANDA M WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1793 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6723
(662) 842-1161
(662) 842-6375
Mailing address
1793 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6723
(662) 842-1161
(662) 842-6375
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865972
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03135377
—
MS
Enumeration date
12/18/2006
Last updated
03/29/2018
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