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Contact Information

AMANDA ELLIS, NP
3635 BIENVILLE BLVD
OCEAN SPRINGS, MS39564-5711
 Phone: 228-872-1951
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for AMANDA ELLIS · (Female)

NPI # 1538827860
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 12/03/2021
Last updated 04/16/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 888645
  • MS License # 906495
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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