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Contact Information

AMY K OMARA, APRN, MSN, CPNP
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-6441
 Fax: 601-815-0434
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AMY K OMARA · (Female)

NPI Number 1124218490
Status Active
Credentials APRN, MSN, CPNP
Entity Individual
Enumeration date 08/01/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 863420
  • MS License # R863420
Hospital affiliation(s) Not Available
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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