Individual
DR. AMY FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
965 AVENT DR, GRENADA, MS 38901-5045
(662) 227-6488
Mailing address
965 AVENT DR, STE 100B, GRENADA, MS 38901-5045
(662) 227-6488
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R827311
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07702276
—
MS
01
—
1972859809
BLUE CROSS AND BLUE SHEILD
MS
Enumeration date
07/29/2012
Last updated
04/05/2018
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