| Doctor Name: | MRS. AMANDA CORRINE YAWN |
| NPI Number: | 1760884373 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | R889927 |
| Business Practice Address: | 7001 Highway 614 Moss Point, MS - 39562 |
| Business Phone Number: | 2285886622 |
| Business Fax Number: | |
| Mailing Address: | 292a Dean Nursery Rd, LUCEDALE |
| State: | MS |
| Postal Code: | 394526927 |
| Phone Number: | 6019475968 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2014 |
| NPI Last Update Date: | 01/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R889927 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |