Individual
AMANDA ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1167 E BROAD ST, MONTICELLO, MS 39654-7682
(601) 587-1433
(601) 587-1625
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903907
MS
Other
Enumeration date
04/10/2020
Last updated
04/08/2026
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