# AMANDA GAIL SMALLMON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447481072
- **Gender:** F
- **Credential:** APRN, FNP, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | A003277 | AR | — |
| 363LF0000X | Family Nurse Practitioner | 2001008943 | MO | — |
| 363LF0000X | Family Nurse Practitioner | A03277 | AR | — |
| 363LF0000X | Family Nurse Practitioner | APN0000027580 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2022003488 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 27580 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | A003277 | AR | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | A03277 | AR | — |

## Other

- **Enumeration date:** 07/30/2009
- **Last updated:** 11/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 180257758 | — | AR |