IndividualActive
Amanda Ivy
NPI 1255584207 · Nurse's Aide · West Point, MS
Provider details
- NPI number
- 1255584207
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- A059544 (MS)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1804 Doughty Cir
West Point, MS 39773-4041
Phone: (662) 495-1120
Fax: (662) 495-1152
Approximate (ZIP-level) locationGet directions
Mailing address
1804 Doughty Cir
West Point, MS 39773-4041
Registry dates
- Enumerated
- 2008-11-03
- Last updated
- 2009-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.