Individual
AMANDA BLAKE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3416 OLD GREENWOOD RD, FORT SMITH, AR 72903-5462
(479) 242-2888
(479) 242-2889
Mailing address
2125 PARKRIDGE DR, VAN BUREN, AR 72956-7491
(479) 226-0979
(479) 242-2889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
118856
OK
363LF0000X
Family Nurse Practitioner
Primary
A0053338
AR
Other
Enumeration date
12/21/2016
Last updated
05/09/2023
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