IndividualActive
Amanda Bagwell, FNP
NPI 1508506320 · Family Nurse Practitioner · Oxford, MS
Provider details
- NPI number
- 1508506320
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 905143 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2215 Jefferson Davis Dr
Oxford, MS 38655-5221
Phone: (662) 638-0462
Approximate (ZIP-level) locationGet directions
Mailing address
1674 Ranchland Rd
Belden, MS 38826-9634
Registry dates
- Enumerated
- 2022-03-30
- Last updated
- 2023-07-06
- Certified
- 2023-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.