Davis, Amanda Blake

Davis, Amanda Blake is an individual health care provider with primary practice located at 3416 Old Greenwood Rd , Fort Smith AR 72903-5462. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Amanda Blake can be contacted via phone (479) 242-2888.

Contact Information

Primary practice address
3416 Old Greenwood Rd Fort Smith AR 72903-5462
Phone: (479) 242-2888
Fax: (479) 242-2889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 118856 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A0053338 Arkansas

Profile Details

NPI number 1790220143
LBN Legal business name Davis, Amanda Blake
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2016
Last updated May 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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