Individual
KERRY DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
(361) 350-1296
Mailing address
1305 TAYLOR ST, BEEVILLE, TX 78102-6149
(361) 350-1296
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1086575
TX
Other
Enumeration date
08/08/2022
Last updated
12/03/2024
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