Johnson, Amanda C

Johnson, Amanda C is an individual health care provider with primary practice located at 611 Alcorn Dr , Corinth MS 38834-9368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Johnson, Amanda C can be contacted via phone (662) 293-1440.

Contact Information

Primary practice address
611 Alcorn Dr Corinth MS 38834-9368
Phone: (662) 293-1440
Fax: (662) 293-4334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R864380 Mississippi

Profile Details

NPI number 1043341159
LBN Legal business name Johnson, Amanda C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 19 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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