Individual
AMANDA CRANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1800 12TH ST STE 1D, MERIDIAN, MS 39301-4158
(601) 703-9165
Mailing address
1800 12TH ST STE 1D, MERIDIAN, MS 39301-4158
(601) 703-9165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R882638
MS
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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