Individual
MRS. AMANDA LEAH BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
970 LAKELAND DR STE 61, JACKSON, MS 39216-4682
(601) 982-7850
Mailing address
2950 CATO RD, BRAXTON, MS 39044
(601) 847-2754
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R862034
MS
363LA2100X
Acute Care Nurse Practitioner
Primary
862034
MS
Other
Enumeration date
12/27/2007
Last updated
08/10/2023
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