# AVA GALE SMITH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396806774
- **Gender:** F
- **Credential:** R.N., P.M.H.N.P

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 235655 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 235655 | TX | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 05/01/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 088277101 | — | TX |
| 05 | — | 088277102 | — | TX |
| 05 | — | 088277103 | — | TX |
| 01 | — | 86N92S | BLUE CROSS BLUE SHIELD OF TEXAS | TX |