Ellis, Amanda Leigh

Ellis, Amanda Leigh is an individual health care provider with primary practice located at 405 W Adams St , Kosciusko MS 39090-3617. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Ellis, Amanda Leigh can be contacted via phone (662) 289-2880.

Contact Information

Primary practice address
405 W Adams St Kosciusko MS 39090-3617
Phone: (662) 289-2880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 902514 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 902514 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 902514 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 902514 Mississippi

Profile Details

NPI number 1659871424
LBN Legal business name Ellis, Amanda Leigh
Credentials DNP, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2018
Last updated Apr 20th, 2024 - about last year

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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