Individual
STACI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2012 N MAIN ST, SHELBYVILLE, TN 37160-2022
(931) 703-0829
Mailing address
199 MORRIS LN, WARTRACE, TN 37183-3112
(931) 703-0829
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26843
TN
Other
Enumeration date
11/13/2019
Last updated
04/30/2024
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