AMANDA DEGNAN JACKSON

SOUTHAVEN, MS
NPI1295581486
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  906654)
Enumeration Date2024-04-29
Last Update Date2024-07-23
Business Address
AMANDA DEGNAN JACKSON
5699 GETWELL RD STE 5
SOUTHAVEN, MS 38672-7312
Phone number: 901-297-9122
Mailing Address
AMANDA DEGNAN JACKSON
6280 IVY OAKS CV
OLIVE BRANCH, MS 38654-7167
Phone number: 901-297-9122
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