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Mrs. Amanda Lee Ham, ANP-BC,PMHNP-BC
Adult Health Nurse Practitioner in Corinth, Mississippi
NPI 1912220237

Amanda Lee Ham is an Adult Health Nurse Practitioner based in Iuka, MS and is specialized in Adult Health. Amanda Lee Ham practices in Corinth, MS and has the professional credentials of ANP-BC,PMHNP-BC. The NPI Number for Amanda Lee Ham is 1912220237 and holds a License No. 855720 (Mississippi).

The current practice location address for Amanda Lee Ham is 611 Alcorn Dr, Corinth, MS and can be reached out via phone at 662-293-1160 and via fax at 662-293-4254.

Location: 611 Alcorn Dr, Corinth, MS, 38852-1337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912220237
Provider Name
Amanda Lee Ham
Credential
ANP-BC,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
611 Alcorn Dr, Corinth, MS, 38852-1337
Phone Number
662-293-1160
Fax Number
662-293-4254
Provider Enumeration Date
03/02/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07200316 05 MS
institution
Provider Business Practice Location Address Details
Address
611 Alcorn Dr
City
Corinth
State
Mississippi
Zip
38834-9321
Phone Number
662-293-1160
Fax Number
662-293-4254
person
Provider Business Mailing Address Details
Address
611 Alcorn Dr
City
Corinth
State
Mississippi
Zip
38834-9321
Phone Number
662-293-1160
Fax Number
662-293-4254
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
R855720 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
855720 (Mississippi)
Definition
Definition to come...
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