IndividualActive
Amanda Smith, FNP-C
NPI 1235940842 · Nurse Practitioner · Tupelo, MS
Provider details
- NPI number
- 1235940842
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 906736 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4250 S Eason Blvd
Tupelo, MS 38801-6549
Phone: (662) 377-5265
Approximate (ZIP-level) locationGet directions
Mailing address
285 County Road 166
Houston, MS 38851-9271
Registry dates
- Enumerated
- 2025-01-15
- Last updated
- 2025-01-23
- Certified
- 2025-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.