Bagwell, Amanda Nelson

Bagwell, Amanda Nelson is an individual health care provider with primary practice located at 2215 Jefferson Davis Dr , Oxford MS 38655-5221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bagwell, Amanda Nelson can be contacted via phone (662) 638-0462.

Contact Information

Primary practice address
2215 Jefferson Davis Dr Oxford MS 38655-5221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 905143 Mississippi

Profile Details

NPI number 1508506320
LBN Legal business name Bagwell, Amanda Nelson
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2022
Last updated Jul 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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