IndividualActive
Amy Smith, PNP-BC
NPI 1396920971 · Pediatric Nurse Practitioner · Jackson, MS
Provider details
- NPI number
- 1396920971
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- R850621 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-6688
Fax: (601) 815-3736
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2008-01-02
- Last updated
- 2012-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.