Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4250 S EASON BLVD, TUPELO, MS 38801-6549
(662) 377-5265
Mailing address
285 COUNTY ROAD 166, HOUSTON, MS 38851-9271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906736
MS
Other
Enumeration date
01/15/2025
Last updated
01/23/2025
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