Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA CAROLINE IVY
Active Sole ProprietorNurse's Aide · WEST POINT, MS
Registration Details
- NPI Number
- 1255584207
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 3, 2008 (17.47905936457 yrs)
- Last Updated
- May 28, 2009
- License
-
A059544 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1804 DOUGHTY CIRWEST POINT, MS, 397734041Browse MS providers · Browse ZIP 39773
- Phone
- 6624951120
- Fax
- 6624951152
- Primary Specialty
-
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.