Search › Mississippi › 363LW0102X
Amanda Jordan, OGNP
NPI 1710044474 · on the registry since 2007 · sole proprietor
Practice
- Address
- 114 E Presley Blvd
Mccomb, MS 39648 - Phone
- (601) 684-1030
- Fax
- (601) 684-5999
- Organisation at this address
- Mississippi State Department Of Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
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