NPI 1427691450
Amy Anderson
Practice location
- Address
- 1110 Clay St, Vicksburg, MS 39183-2912
- Phone
- (601) 738-5820
- Fax
- (601) 738-5083
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1427691450
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Oct 2019
- Record last updated
- 22 Oct 2019
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.