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Contact Information

AMY M SELMON, NP
904 NORTH PEARL STREET
IUKA, MS38852
 Phone: 662-656-0183
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for AMY M SELMON · (Female)

NPI # 1346850278
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/05/2020
Last updated 08/05/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 878054
  • MS License # 903884
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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