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Individual
DERAINEY R. SMITH
Active
Individual
DERAINEY R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, DNP, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A003560
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A003560
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188545758
—
AR
Enumeration date
06/15/2011
Last updated
09/23/2025
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