Smith, Amy Gale

Smith, Amy Gale is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Smith, Amy Gale can be contacted via phone (601) 984-6688.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-6688
Fax: (601) 815-3736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R850621 Mississippi

Profile Details

NPI number 1396920971
LBN Legal business name Smith, Amy Gale
Credentials PNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2008
Last updated Jun 14th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396920971 NPPES
Mississippi MEDICAID 01083719

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