Roach, Amanda Brooke
Roach, Amanda Brooke is an sole proprietor health care provider with primary practice located at 544 Keyway Dr Ste A , Flowood MS 39232-9580. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Roach, Amanda Brooke can be contacted via phone (601) 487-0840.Contact Information
Primary practice address
544 Keyway Dr Ste A
Flowood MS 39232-9580
Phone: (601) 487-0840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 902996 | Mississippi |
Profile Details
| NPI number | 1366918195 |
|---|---|
| LBN Legal business name | Roach, Amanda Brooke |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2018 |
| Last updated | Oct 21st, 2021 - about 3 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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