Most Relevant Information
Provider Data
| NPI Number: | 1003334301 |
| Provider Name: | AMANDA DANIELLE SIMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP09471 |
Most Important Dates
| Enumeration Date: | 09/07/2017 |
| Last Updated: | 09/07/2017 |
Provider Practice Location
1800 12TH ST
MERIDIAN
MS
393014158
Practice Location Phone/Fax
| Phone: | 6014846700 |
| Fax: |
Provider Mailing Location
1800 12TH ST
MERIDIAN
MS
393014158
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |