IndividualActive
Amanda Michael, ACNPC-AG
NPI 1104459742 · Acute Care Nurse Practitioner · Booneville, MS
Provider details
- NPI number
- 1104459742
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNPC-AG
- Sex
- Female
- Sole proprietor
- No
- License
- 903435 (MS)
Mailing address
200 Quail Run
Booneville, MS 38829-9001
Registry dates
- Enumerated
- 2020-02-21
- Last updated
- 2020-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.