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1699084020
AMANDA SMITH QUARLES
JACKSON, MS
NPI
1699084020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R862128)
Enumeration Date
2010-10-04
Last Update Date
2020-09-08
Business Address
AMANDA SMITH QUARLES CFNP
2500 NORTH STATE STREET DEPARTMENT OF MEDICINE DIVISION OF NEPHROLOGY
JACKSON, MS 39216-4500
Phone number: 601-984-5687
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Mailing Address
AMANDA SMITH QUARLES CFNP
2500 NORTH STATE STREET CBO-SUITE 4200
JACKSON, MS 39216-4500
Phone number: 601-815-5047
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