IndividualActive
Amanda Keith
NPI 1376164459 · Licensed Practical Nurse · Tupelo, MS
Provider details
- NPI number
- 1376164459
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 324987 (MS)
Specialties & taxonomies
Nursing Service Providers
Practice location
2434 S Eason Blvd
Tupelo, MS 38804-6942
Phone: (662) 640-4595
Fax: (662) 680-6416
Approximate (ZIP-level) locationGet directions
Mailing address
2434 S Eason Blvd
Tupelo, MS 38804-6942
Registry dates
- Enumerated
- 2020-04-30
- Last updated
- 2020-04-30
- Certified
- 2020-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.