DR. AMANDA LEIGH ELLIS DNP NP-C NPI 1659871424

NPI Information

NPI: 1659871424
Provider Name: DR. AMANDA LEIGH ELLIS, DNP, NP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
405 W ADAMS ST
KOSCIUSKO, MS
ZIP 39090
Phone: (662) 289-2880
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DR. Amanda Leigh Ellis, DNP, NP-C is a primary care nurse practitioner in Kosciusko, MS. DR. Amanda Leigh Ellis, DNP, NP-C NPI is 1659871424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

405 W ADAMS ST
KOSCIUSKO, MS
ZIP 39090-617
Phone: (662) 289-2880

The NPI 1659871424 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/17/2018 and was last updated on 4/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	902514	MISSISSIPPI	No
2	363LG0600X	Nurse Practitioner	Gerontology	902514	MISSISSIPPI	No
3	363LW0102X	Nurse Practitioner	Women's Health	902514	MISSISSIPPI	No
4	363LP2300X	Nurse Practitioner	Primary Care	902514	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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