Greene, Amanda B

Greene, Amanda B is an individual health care provider with primary practice located at 625 S Pear Orchard Rd Ste B, Ridgeland MS 39157-4836. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Allopathic & Osteopathic Physicians / Neurology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Greene, Amanda B can be contacted via phone (601) 499-0282.

Contact Information

Primary practice address
625 S Pear Orchard Rd Ste B Ridgeland MS 39157-4836
Phone: (601) 499-0282
Fax: (601) 499-0347
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 870536 Mississippi
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 870536 Mississippi

Profile Details

NPI number 1083040562
LBN Legal business name Greene, Amanda B
Credentials DNP, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2013
Last updated Sep 16th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083040562 NPPES
Mississippi MEDICAID 08800015
Mississippi Other P01627831

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