IndividualActive
Amanda Stegall, ACNPC-AG
NPI 1083483085 · Acute Care Nurse Practitioner · Jackson, MS
Provider details
- NPI number
- 1083483085
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNPC-AG
- Sex
- Female
- Sole proprietor
- No
- License
- 906411 (MS)
Practice location
971 Lakeland Dr Ste 1250
Jackson, MS 39216-4609
Phone: (601) 200-2990
Fax: (601) 200-5939
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Registry dates
- Enumerated
- 2024-01-01
- Last updated
- 2024-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.