Ivy, Amanda Caroline

Ivy, Amanda Caroline is an sole proprietor health care provider with primary practice located at 1804 Doughty Cir , West Point MS 39773-4041. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Ivy, Amanda Caroline can be contacted via phone (662) 495-1120.

Contact Information

Primary practice address
1804 Doughty Cir West Point MS 39773-4041
Phone: (662) 495-1120
Fax: (662) 495-1152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X A059544 Mississippi

Profile Details

NPI number 1255584207
LBN Legal business name Ivy, Amanda Caroline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2008
Last updated May 28th, 2009 - about 15 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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