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Mrs. Amanda Renia Mizell, CRNP
Family Nurse Practitioner in Gulfport, Mississippi
NPI 1679896575

Amanda Renia Mizell is a Family Nurse Practitioner based in Grand Bay, MS and is specialized in Family. Amanda Renia Mizell practices in Gulfport, MS and has the professional credentials of CRNP. The NPI Number for Amanda Renia Mizell is 1679896575 and holds a License No. 1-111977 (Mississippi).

The current practice location address for Amanda Renia Mizell is 1212 E Pass Rd, Gulfport, MS and can be reached out via phone at 228-896-7108 and via fax at 228-896-7174. You can also correspond with Amanda Renia Mizell through the mailing address at PO BOX 787, GRAND BAY, AL - 36541-0787 (mailing address contact number: 228-896-7108).

Location: 1212 E Pass Rd, Gulfport, MS, 36541-0787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679896575
Provider Name
Amanda Renia Mizell
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1212 E Pass Rd, Gulfport, MS, 36541-0787
Phone Number
228-896-7108
Fax Number
228-896-7174
Provider Enumeration Date
03/05/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1212 E Pass Rd
City
Gulfport
State
Mississippi
Zip
39507-3403
Phone Number
228-896-7108
Fax Number
228-896-7174
person
Provider Business Mailing Address Details
Address
1212 E Pass Rd
City
Gulfport
State
Mississippi
Zip
39507-3403
Phone Number
228-896-7108
Fax Number
228-896-7174
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R880871 (Mississippi)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1-111977 (Alabama)
Definition
Definition to come...
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