IndividualActive
Amanda Dowell
NPI 1790485159 · Family Nurse Practitioner · Vicksburg, MS
Provider details
- NPI number
- 1790485159
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 905868 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2080 S Frontage Rd Ste 107
Vicksburg, MS 39180-5882
Phone: (601) 654-7070
Fax: (601) 636-6233
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1089
Hammond, LA 70404-1089
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2023-03-06
- Certified
- 2023-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.