Individual provider · Type 1 NPI

Amanda Blake Davis, APRN

Family Nurse Practitioner · Fort Smith, AR

NPI number 1790220143 Active

Practice location

3416 Old Greenwood Rd
Fort Smith, AR 72903-5462

Fax (479) 242-2889

Mailing address

2125 Parkridge Dr
Van Buren, AR 72956-7491

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X118856 (OK)
Family Nurse Practitioner Primary 363LF0000XA0053338 (AR)

Family Nurse Practitioner: Definition to come...

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About NPI 1790220143

Amanda Blake Davis, APRN's National Provider Identifier is 1790220143, issued on Dec 21, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Smith, AR. The record was last updated on May 9, 2023.