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

Mrs. Amanda Renia Mizell, CRNP

Individual provider Nurse Practitioner · NPI 1679896575

Mrs. Amanda Renia Mizell, CRNP is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2009, 17 years ago. Practices with A R Mizell LLC, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama and Mississippi.

Years since qualifying
17
Licensed in
AL, MS
In the registry since
2010
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1212 E Pass Rd
Gulfport, MS 39507-3403
Phone: (228) 896-7108
Fax: (228) 896-7174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1962 Spring Hill Ave, Mobile, AL 36607 — (251) 802-3595
  • 12303 Highway 49, Gulfport, MS 39503 — (228) 206-6882

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R880871 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence 1-111977 (AL)

Record details

NPI number1679896575
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedMarch 5, 2010
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice A R Mizell Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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