Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1411 COLLEGE DR, TEXARKANA, TX 75503-3533
(903) 791-1110
(903) 791-9353
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
123648
AR
363LF0000X
Family Nurse Practitioner
Primary
AP144505
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123648
LICENSE
AR
01
—
AP144505
LICENSE
TX
Enumeration date
01/22/2020
Last updated
04/18/2023
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