Individual
AMANDA JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1530 DEKALB AVE NE STE C, ATLANTA, GA 30307-2175
(470) 280-9497
(470) 646-9789
Mailing address
349 ELMIRA PL NE, ATLANTA, GA 30307-2039
(404) 227-4144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN181777
GA
Other
Enumeration date
03/19/2024
Last updated
09/17/2025
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