Individual provider · Type 1 NPI
Amanda Lynn Ladd, FNP
Family Nurse Practitioner · Hattiesburg, MS
NPI number
1821545757
Active
Practice location
415 S 28th Ave
Hattiesburg, MS 39401-7246
Fax (601) 579-5240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 901597 (MS) |
| Family Nurse Practitioner Primary | 363LF0000X | 901597 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1821545757
Amanda Lynn Ladd, FNP's National Provider Identifier is 1821545757, issued on Sep 8, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jun 4, 2020.