Whalio Doctors

NPI 1215381025

Amanda Maxcy, LPN

Practitioner Licensed Practical Nurse Tupelo, MS

Practice location

Address
2434 S Eason Blvd, Tupelo, MS 38804-6942
Phone
(662) 640-4595
Fax
(662) 680-6416

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence P319923 (MS)

Registry record

NPI
1215381025
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Apr 2016
Record last updated
18 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.