Individual
AMY ELIZABETH VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
970 LAKELAND DR STE 61, JACKSON, MS 39216-4634
(601) 982-7850
Mailing address
970 LAKELAND DR STE 61, JACKSON, MS 39216-4682
(601) 982-7850
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
901949
MS
Other
Enumeration date
02/03/2017
Last updated
01/11/2021
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