Female

Mrs. Amanda L. Freeman FNP

Nurse Practitioner in Waynesboro, MS(View on Map)

Full Name

Mrs. Amanda L Freeman FNP

NPI Number

1215209986

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/27/2012

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

R781277

Contact
Information

Purpose

Mailing
Location

Address

1616 WILLIAMS DR
940 MATTHEW DR

City

Leakesville
Waynesboro

State

MS
MS

Postal Code

39451-5622
39367-2522

Country

US
US

Telephone Number

(601) 394-2381
(601) 735-7145

Identifiers

Identifier

R781277

Identifier State

MS

Identifier Issuer

ST LICENSE NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/05/2016

Provider Address

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