Individual
AMY MARIE GAMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
700 WOODLAND DR, WINONA, MS 38967-1530
(662) 283-3060
Mailing address
700 WOODLAND DR, WINONA, MS 38967-1530
(662) 283-3060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904698
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063624229
NPI
—
Enumeration date
01/31/2018
Last updated
06/16/2021
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