AMANDA LUCILLE LANDRUM-MCCALLUM


Address: 30 Circle J Dr Ste 1, Laurel, MS 39440
Phone: 0142500926

AMANDA LUCILLE LANDRUM-MCCALLUM (NPI# 1366943425) 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) 1366943425
Entity Type Individual
Full Name AMANDA LUCILLE LANDRUM-MCCALLUM
Credential C-FNP
Practice Address 30 Circle J Dr Ste 1
Laurel
MS 39440
Mailing Address 30 Circle J Dr Ste 1
Laurel
MS 39440-1981
Practice Telephone 0142500926
Mailing Telephone 6014250092
Enumeration Date 2018-02-23
Last Update Date 2018-07-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
LAND-P5Z3CC MS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 30 CIRCLE J DR STE 1
City LAUREL
State MS
Zip Code 39440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326561598 Kelly F Morris Nurse Practitioner 30 Circle J Dr Ste 1, Laurel, MS 39440-1981 2017-07-19
1326608878 Jennifer Lynn Aultman Nurse Practitioner 30 Circle J Dr Ste 1, Laurel, MS 39440-1981 2019-06-17
1679050223 Thomas Neil Hudson Family Medicine 30 Circle J Dr Ste 1, Laurel, MS 39440 2018-07-26
1225514391 Jennifer Miranda Summers Nurse Practitioner 30 Circle J Dr Ste 1, Laurel, MS 39440-1981 2018-07-12
1730605593 Brittany Poole Jones Nurse Practitioner 30 Circle J Dr Ste 1, Laurel, MS 39440-1981 2017-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306323159 Tender Loving Care Homecare LLC Homemaker 509 Central Ave Ste 224, Laurel, MS 39440 2018-07-24
1669837910 Laurel Dental Properties Dentist 1925 Pine Belt Drive, Laurel, MS 39440 2015-12-30
1215282991 South Central Regional Medical Center Clinic/Center 525 Wayne Drive, Laurel, MS 39440 2012-07-18
1568721215 Terry Ratcliff Perkins Counselor 5192 Hwy 11 North, Laurel, MS 39440 2012-05-15
1437453057 Alexander Milne Home for Women Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 616 East 19th Street, Laurel, MS 39440 2010-12-23
1710135629 Jeffrey R. Moffett Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2008-09-04
1003096785 Family Health Center, Inc Obstetrics & Gynecology 103 S. 12th Avenue, Laurel, MS 39440 2007-11-09
1669672143 Laurel Urology Clinic Pa Urology 304 S 10th Ave, Laurel, MS 39440 2007-07-23
1093912370 Tanweer Hussain Majid Surgery 1007 Jefferson Street, Laurel, MS 39440 2007-06-29
1780889923 Hattiesburg Eye Clinic, Pa Ophthalmology 1431 North 10th St, Suite 1, Laurel, MS 39440 2007-06-18
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Taxonomy Information

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

Taxonomy Definition

Definition to come...

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1649880626 Oak Healthcare Services LLC Nurse Practitioner 11601 Duckettown Road, Laurel, MD 20708 2020-08-05
1003425844 We Walk Together Nurse Practitioner 8406 Shadeland Rd, Laurel, MD 20724-1922 2020-07-28
1952919870 Lauren Abbie Collins Nurse Practitioner 32504 Mount Pleasant Rd, Laurel, DE 19956-4246 2020-07-16
1215552302 Ulrica Olayinka Mbayo Nurse Practitioner 3201 Orient Fishtail Rd, Laurel, MD 20724-2931 2020-06-15
1962027599 Olive Mouafo Nurse Practitioner 10100 Snowdrift Downs, Laurel, MD 20723-5873 2020-06-09
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Competitor

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City LAUREL
Zip Code 39440

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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.

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