Individual provider · Type 1 NPI

Amanda Stauble, APRN

Family Nurse Practitioner · Jackson, MS

NPI number 1063768331 Active

Practice location

1225 N State St
Jackson, MS 39202

Mailing address

104 Woodstock Dr
Vicksburg, MS 39180-5747

Other practice locations

  • 501 Marshall St Ste 104, Jackson, MS 39202-1663 · (601) 969-6404

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X903113 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1063768331

Amanda Stauble, APRN's National Provider Identifier is 1063768331, issued on Jul 24, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Aug 22, 2019.