Individual
AMANDA JORDAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2135 S FREMONT AVE STE 200, SPRINGFIELD, MO 65804-2239
(417) 820-3709
Mailing address
2135 S FREMONT AVE STE 200, SPRINGFIELD, MO 65804-2239
(417) 820-3709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022030322
MO
Other
Enumeration date
07/07/2022
Last updated
08/12/2022
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