Amanda Blackmon
CRNA (Nurse Anesthetist) · Tupelo, MS
UnclaimedNPI 1083995518
- Primary taxonomy
- 367500000X
- Enumerated
- 2011-08-29
- Practice location
- Tupelo, MS
- Last NPPES update
- 2015-01-12
State licenses
- MS · Crna · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.