AMANDA STAUBLE


Address: 1225 N State St, Jackson, MS 39202
Phone: 6012017188

AMANDA STAUBLE (NPI# 1063768331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063768331
Entity Type Individual
Full Name AMANDA STAUBLE
Credential APRN
Practice Address 1225 N State St
Jackson
MS 39202
Mailing Address 104 Woodstock Dr
Vicksburg
MS 39180-5747
Practice Telephone 6012017188
Mailing Telephone 6012017188
Enumeration Date 2012-07-24
Last Update Date 2019-08-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
903113 MS Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
501 Marshall St Ste 104, Jackson, MS 392021663 6019696404

Office Location

Street Address 1225 N STATE ST
City JACKSON
State MS
Zip Code 39202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013919216 Richard B Friedman Radiology 1225 N State St, Jackson, MS 39202-2064 2005-06-01
1326649336 Sharron Rena Brown Nurse Practitioner 1225 N State St, Jackson, MS 39202-2097 2020-11-05
1861009714 April Stevenson Corcoran Registered Nurse 1225 N State St, Jackson, MS 39202-2064 2020-09-24
1609485440 Mississippi Baptist Medical Center, Inc. Clinical Medical Laboratory 1225 N State St, Jackson, MS 39202-2064 2020-07-28
1912530569 Brandi Burge Wagner Nurse Practitioner 1225 N State St, Jackson, MS 39202-2064 2020-02-21
1760028955 Erin Jones Registered Nurse 1225 N State St, Jackson, MS 39202-2064 2019-11-21
1780229641 Lauren Blakeney Nurse Practitioner 1225 N State St, Jackson, MS 39202-2064 2019-11-14
1417591322 Lou Ann Wells Registered Nurse 1225 N State St, Jackson, MS 39202-2064 2019-11-04
1861043531 Jessica Candace Cody Anesthesiology 1225 N State St, Jackson, MS 39202-2064 2019-09-24
1386290955 Brady K Lowery Nurse Practitioner 1225 N State St, Jackson, MS 39202-2064 2019-08-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
Find all providers in zip 39202

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073113627 Jessicah Blasdel Nurse Practitioner 113 W Michigan Ave, Jackson, MI 49201-1340 2020-10-31
1801406335 Jade Russell Nurse Practitioner 2205 W Morrell St, Jackson, MI 49203-1357 2020-08-10
1992315212 Patrecia Campbell Nurse Practitioner 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 2020-08-01
1669008926 Kristine Edwards Nurse Practitioner 723 Woodlawn Ave, Jackson, MI 49203-2921 2020-03-19
1295366391 Christy White Nurse Practitioner 363 Old Pinson Rd, Jackson, TN 38301-9576 2020-01-28
1972141620 Primary Care - Bemis, LLC Nurse Practitioner 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 2019-12-12
1174164263 Tami Anne Miller Nurse Practitioner 124 N Bast St, Jackson, MO 63755-1704 2019-10-01
1265080584 Cameron Nicole Howard Nurse Practitioner 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 2019-08-29
1831750843 Rhiannon Michelle Andresen Nurse Practitioner 1022 Greystone Sq, Jackson, TN 38305-3580 2019-06-21
1902376361 Jenay B Krumm Nurse Practitioner 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 2018-11-28
Find all providers in JACKSON

Competitor

Search similar providers

City JACKSON
Zip Code 39202

Improve Information

Please comment or provide details below to improve the information on AMANDA STAUBLE.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches