AMANDA BROOKE ROACH

FLOWOOD, MS
NPI1366918195
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  902996)
Enumeration Date2018-10-19
Last Update Date2021-10-21
Business Address
AMANDA BROOKE ROACH PMHNP-BC
544 KEYWAY DR STE A
FLOWOOD, MS 39232-9580
Phone number: 601-487-0840
Mailing Address
AMANDA BROOKE ROACH PMHNP-BC
544 KEYWAY DR STE A
FLOWOOD, MS 39232-9580
Phone number: 662-419-2565
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