Individual
MRS. AMANDA JO SMITH-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1059 NEAL ST, COOKEVILLE, TN 38501-0946
(931) 507-1212
Mailing address
1582 RICKMAN RD, LIVINGSTON, TN 38570-6056
(931) 397-0495
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
161705
TN
363LF0000X
Family Nurse Practitioner
Primary
F05170606
TN
Other
Enumeration date
06/13/2017
Last updated
07/11/2023
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