Individual
AMANDA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
12978 N MAIN ST, TRENTON, GA 30752-2241
(706) 657-4183
(706) 657-4270
Mailing address
12978 N MAIN ST, TRENTON, GA 30752-2241
(706) 657-4183
(706) 657-4270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
260929
GA
363LF0000X
Family Nurse Practitioner
28556
TN
Other
Enumeration date
02/04/2021
Last updated
04/28/2022
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