Smallmon, Amanda Gail

Smallmon, Amanda Gail is an individual health care provider with primary practice located at 180 S Thornton Ave , Piggott AR 72454-2731. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Smallmon, Amanda Gail can be contacted via phone (870) 970-3180.

Contact Information

Primary practice address
180 S Thornton Ave Piggott AR 72454-2731
Phone: (870) 970-3180
Fax: (870) 201-9686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X A003277 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2001008943 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000027580 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03277 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 27580 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2022003488 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A03277 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A003277 Arkansas

Profile Details

NPI number 1447481072
LBN Legal business name Smallmon, Amanda Gail
Credentials APRN, FNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2009
Last updated Nov 15th, 2023 - about 2 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 1447481072 NPPES
Arkansas MEDICAID 180257758

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