Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Rose Smith, FNP-C

Individual provider Family Nurse Practitioner · NPI 1992324834

Amanda Rose Smith, FNP-C is a Nurse Practitioner in Monticello, Mississippi. Qualified in 2020, 6 years ago. Practices with Southwest Mississippi Regional Medical Center, a 84-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1167 E Broad St
Monticello, MS 39654-7682
Phone: (601) 587-1433
Fax: (601) 587-1625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1065 E Broad St, Monticello, MS 39654-7703 — (601) 587-4051

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903907 (MS)

Record details

NPI number1992324834
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 10, 2020
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing addressPo Box 490, McComb, MS 39649-0490

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southwest Mississippi Regional Medical Center — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Monticello