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Amy O'daniel, FNP-C
Family Nurse Practitioner in Tupelo, Mississippi
NPI 1669879003

Amy O'daniel is a Family Nurse Practitioner based in Tupelo, MS and is specialized in Family. Amy O'daniel practices in Tupelo, MS and has the professional credentials of FNP-C. The NPI Number for Amy O'daniel is 1669879003 and holds a License No. R857611 (Mississippi).

The current practice location address for Amy O'daniel is 3411 W Main St, Tupelo, MS and can be reached out via phone at 662-844-9376 and via fax at 662-844-4326.

Location: 3411 W Main St, Tupelo, MS, 38801-9413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669879003
Provider Name
Amy O'daniel
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
3411 W Main St, Tupelo, MS, 38801-9413
Phone Number
662-844-9376
Fax Number
662-844-4326
Provider Enumeration Date
12/01/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03500366 05 MS
institution
Provider Business Practice Location Address Details
Address
3411 W Main St
City
Tupelo
State
Mississippi
Zip
38801-9413
Phone Number
662-844-9376
Fax Number
662-844-4326
person
Provider Business Mailing Address Details
Address
3411 W Main St
City
Tupelo
State
Mississippi
Zip
38801-9413
Phone Number
662-844-9376
Fax Number
662-844-4326
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R857611 (Mississippi)
Definition
Definition to come...
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