AMEENA BANU PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1679103337- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 2500 N STATE ST, JACKSON, MS, 392164500
- Phone
- (601) 984-1000
- Fax
- (601) 815-0434
Specialties & Taxonomies
Physician Assistant
Primary License: MS #PA00461