Amanda Jones Mitchell, CNA
Individual provider Active NPI Nurse's Aide · Carthage, MS
NPI 1275217879 · NPPES record last updated Sep 14, 2024
Key facts
- NPI
- 1275217879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 10089142 (MS)
- Practice address
- 2342 Highway 16 East
Carthage, MS 39051 - Phone
- (662) 303-1584
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1201052 | MS | MD | Phlebotomy Technician |
| 10089142 | MS | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope and Dreams Care Solutions LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 1201052 | MS | |
| Nurse's Aide | 376K00000X | 10089142 | MS | Yes |
Addresses
Primary practice location
2342 Highway 16 East
Carthage, MS 39051
Mailing address
2342 Highway 16 E
Carthage, MS 39051-8935
Phone (662) 303-1584
Other providers in Carthage, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.