Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Blake Davis, APRN

Individual provider Family Nurse Practitioner · NPI 1790220143

Amanda Blake Davis, APRN is a Nurse Practitioner in Fort Smith, Arkansas. Qualified in 2016, 10 years ago. Practices with Arkansas Liver and Gastroenterology PA, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas and Oklahoma.

Years since qualifying
10
Licensed in
AR, OK
In the registry since
2016
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

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Practice location Address checks out

3416 Old Greenwood Rd
Fort Smith, AR 72903-5462
Phone: (479) 242-2888
Fax: (479) 242-2889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A0053338 (AR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 118856 (OK)

Record details

NPI number1790220143
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedDecember 21, 2016
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address2125 Parkridge Dr, Van Buren, AR 72956-7491

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Arkansas Liver And Gastroenterology Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Smith