AMANDA KELLIE STEGALL

JACKSON, MS
NPI1083483085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  906411)
Enumeration Date2024-01-01
Last Update Date2024-02-07
Business Address
AMANDA KELLIE STEGALL ACNPC-AG
971 LAKELAND DR STE 1250
JACKSON, MS 39216-4609
Phone number: 601-200-2990
Mailing Address
AMANDA KELLIE STEGALL ACNPC-AG
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 601-200-2990