AMANDA STAUBLE

JACKSON, MS
NPI1063768331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  903113)
Enumeration Date2012-07-24
Last Update Date2019-08-22
Business Address
AMANDA STAUBLE APRN
1225 N STATE ST
JACKSON, MS 39202
Phone number: 601-201-7188
Mailing Address
AMANDA STAUBLE APRN
104 WOODSTOCK DR
VICKSBURG, MS 39180-5747
Phone number: 601-201-7188
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