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Amanda Monique Carson-Griffin, FNP-BC

Nurse Practitioner, Family in Clinton, MS. Individual provider (NPI-1).

NPI number1124456850
StatusActive
Last updated in NPPESAug 22, 2019

Details

NPI
1124456850
Entity type
Individual (NPI-1)
Name
Mrs. Amanda Monique Carson-Griffin
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Oct 15, 2013
Last updated
Aug 22, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyR880440MSYes

Practice location

590 Springridge Rd
Clinton, MS 39056-5606

Phone 601-488-8101

Mailing address

590 Springridge Rd
Clinton, MS 39056-5606

Phone 601-488-8101

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Clinton, MS

All 30 Family Nurse Practitioner providers in Clinton · All 566 providers in Clinton

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