AMANDA KITCHENS BOYANTON

JACKSON, MS
NPI1053369355
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R804323)
Enumeration Date2006-05-05
Last Update Date2019-12-13
Business Address
AMANDA KITCHENS BOYANTON N.P
971 LAKELAND DR STE 353
JACKSON, MS 39216
Phone number: 601-949-6990
Mailing Address
AMANDA KITCHENS BOYANTON N.P
971 LAKELAND DR STE 353
JACKSON, MS 39216-4607
Phone number: 601-949-6990
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