Individual provider · Type 1 NPI
Amy Gale Smith, PNP-BC
Pediatric Nurse Practitioner · Jackson, MS
NPI number
1396920971
Active
Practice location
2500 N State St
Jackson, MS 39216-4500
Fax (601) 815-3736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R850621 (MS) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1396920971
Amy Gale Smith, PNP-BC's National Provider Identifier is 1396920971, issued on Jan 2, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jackson, MS. The record was last updated on Jun 14, 2012.