Ham, Amanda Lee

Ham, Amanda Lee is an sole proprietor health care provider with primary practice located at 611 Alcorn Dr , Corinth MS 38834-9321. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ham, Amanda Lee can be contacted via phone (662) 293-1160.

Contact Information

Primary practice address
611 Alcorn Dr Corinth MS 38834-9321
Phone: (662) 293-1160
Fax: (662) 293-4254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 855720 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R855720 Mississippi

Profile Details

NPI number 1912220237
LBN Legal business name Ham, Amanda Lee
Credentials ANP-BC, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2010
Last updated Aug 29th, 2019 - 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 1912220237 NPPES
Mississippi MEDICAID 07200316

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