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Contact Information

AMANDA L BARRY, ACNP
970 LAKELAND DR STE 61
JACKSON, MS39216-4682
 Phone: 601-982-7850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for AMANDA L BARRY · (Female)

NPI # 1851575880
Status Active
Credentials ACNP
Entity Individual
Enumeration date 12/27/2007
Last updated 08/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 862034
  • MS License # R862034
Hospital affiliation(s)
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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