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1215309133
AMANDA MICHELLE WHITACRE
HATTIESBURG, MS
NPI
1215309133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 905840)
Enumeration Date
2015-10-30
Last Update Date
2023-07-20
Business Address
AMANDA MICHELLE WHITACRE PMHNP-BC
34 MILLBRANCH RD
HATTIESBURG, MS 39402-1686
Phone number: 601-909-9394
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Mailing Address
AMANDA MICHELLE WHITACRE PMHNP-BC
2914 PRINCE GEORGE RD
HATTIESBURG, MS 39402-2453
Phone number: 601-315-9382
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