Freeman, Amanda L

Freeman, Amanda L is an sole proprietor health care provider with primary practice located at 940 Matthew Dr Ste 8, Waynesboro MS 39367-2522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Freeman, Amanda L can be contacted via phone (601) 735-7145.

Contact Information

Primary practice address
940 Matthew Dr Ste 8 Waynesboro MS 39367-2522
Phone: (601) 735-7145
Fax: (601) 735-7155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R781277 Mississippi

Profile Details

NPI number 1215209986
LBN Legal business name Freeman, Amanda L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2012
Last updated Feb 5th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215209986 NPPES
Mississippi Other R781277 ST LICENSE NUMBER

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