AMY WALLACE SMITH

JACKSON, MS
NPI1215039953
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R765697)
Enumeration Date2006-09-02
Last Update Date2007-07-08
Business Address
Mrs. AMY WALLACE SMITH N.P.
1500 E WOODROW WILSON AVE NURSING SERVICE (118)
JACKSON, MS 39216-5116
Phone number: 601-364-1300
Mailing Address
Mrs. AMY WALLACE SMITH N.P.
1140 WINDROSE CIR
MADISON, MS 39110-7753
Phone number: