IndividualActive
Amanda Levens
NPI 1386057602 · Pediatric Nurse Practitioner · Gulfport, MS
Provider details
- NPI number
- 1386057602
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- R863406 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9454 Three Rivers Rd
Suite a
Gulfport, MS 39503-4294
Phone: (228) 864-7747
Fax: (228) 864-7415
Approximate (ZIP-level) locationGet directions
Mailing address
9454 Three Rivers Rd
Gulfport, MS 39503-4294
Registry dates
- Enumerated
- 2014-06-04
- Last updated
- 2014-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.