IndividualActive
Amanda Blackwell, MD
NPI 1104529551 · Emergency Medicine Physician · Jackson, MS
Provider details
- NPI number
- 1104529551
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (228) 218-0246
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2023-03-24
- Last updated
- 2023-07-12
- Certified
- 2023-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.