Individual provider · Type 1 NPI

Amanda Levens

Pediatric Nurse Practitioner · Gulfport, MS

NPI number 1386057602 Active

Practice location

9454 Three Rivers Rd, Suite A
Gulfport, MS 39503-4294

Fax (228) 864-7415

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR863406 (MS)

Pediatric Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1386057602

Amanda Levens's National Provider Identifier is 1386057602, issued on Jun 4, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Gulfport, MS. The record was last updated on Jun 4, 2014.