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 Date2026-01-12
Business Address
AMANDA DEGNAN JACKSON
919 FERNCLIFF CV STE 1
SOUTHAVEN, MS 38671-2402
Phone number: 662-205-5045
Mailing Address
AMANDA DEGNAN JACKSON
919 FERNCLIFF CV STE 1
SOUTHAVEN, MS 38671-2402
Phone number: 662-205-5045
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