Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Kellie Stegall, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1083483085

Amanda Kellie Stegall, ACNPC-AG is an Acute Care Nurse Practitioner in Jackson, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

971 Lakeland Dr Ste 1250
Jackson, MS 39216-4609
Phone: (601) 200-2990
Fax: (601) 200-5939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 969 Lakeland Dr, Jackson, MS 39216-4699 — (601) 200-2000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 906411 (MS)

Record details

NPI number1083483085
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedJanuary 1, 2024
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024

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