Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
620 PARKER RD, MAYSVILLE, KY 41056-9620
(731) 394-1145
Mailing address
36 PEMBERTON CV, JACKSON, TN 38305-5514
(731) 394-1145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016737
KY
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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