Smith, Amanda Rose

Smith, Amanda Rose is an individual health care provider with primary practice located at 1167 E Broad St , Monticello MS 39654-7682. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Amanda Rose can be contacted via phone (601) 587-1433.

Contact Information

Primary practice address
1167 E Broad St Monticello MS 39654-7682
Phone: (601) 587-1433
Fax: (601) 587-1625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 903907 Mississippi

Profile Details

NPI number 1992324834
LBN Legal business name Smith, Amanda Rose
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2020
Last updated Sep 16th, 2020 - about 5 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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