Amanda Levens

NPI 1386057602 · on the registry since 2014 · sole proprietor

Practice

Address: 9454 Three Rivers Rd
Suite A
Gulfport, MS 39503
Phone: (228) 864-7747
Fax: (228) 864-7415
Organisation at this address: Medical Logic Inc
Bruni Pediatric Clinic
Memorial Hospital At Gulfport
Memorial Hospital At Gulfport
Cornerstone Caregiving East Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363LP0200X
363LP0200X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-06-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi