Amy Wallace Smith is a Family in Jackson, Mississippi. Amy Wallace Smith practices all healthcare services and medical treatments related to Family. The NPI Number for Amy Wallace Smith is 1215039953. The last update date is 2007-07-08.
Amy Wallace Smith's current location address is 1500 E Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6013641300. The mailing address for Amy Wallace Smith is 1500 E Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Wallace Smith |
|---|---|
| Address | 1500 E Woodrow Wilson Ave, Jackson, Mississippi |
| Phone Number | 6013641300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1215039953 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1500 E Woodrow Wilson Ave |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392165116 |
| Phone Number | 6013641300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R765697 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique identifier code issued to Amy Wallace Smith by the Centers for Medicare & Medicaid Services (CMS)?
The Amy Wallace Smith has been assigned the NPI (National Provider Identifier) 1215039953. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Amy Wallace Smith's physical address?
The Amy Wallace Smith is physically located at 1500 E Woodrow Wilson Ave, in the city of Jackson, MS, with the postal code 392165116.
What is the area of specialization for Amy Wallace Smith, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Amy Wallace Smith is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Amy Wallace Smith receive the assignment of its 1215039953 from the Centers for Medicare & Medicaid Services?
The Amy Wallace Smith was issued its 1215039953 by the Centers for Medicare & Medicaid Services on 2006-09-02.
As of what date were the details related to Amy Wallace Smith most recently updated or revised?
The information pertaining to Amy Wallace Smith, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.