Individual
SAMMI R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2727 HEARNE AVE, SHREVEPORT, LA 71103-3931
(318) 631-6400
(318) 631-0300
Mailing address
2449 HOSPITAL DR., SUITE 400, BOSSIER CITY, LA 71111-1914
(315) 212-7902
(318) 212-7905
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP04110
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1138576
—
LA
Enumeration date
02/17/2006
Last updated
07/14/2015
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