Individual
CORTINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9352 PARK WEST BLVD, KNOXVILLE, TN 37923-4325
(865) 373-1890
Mailing address
3469 NEW HIGHWAY 68, MADISONVILLE, TN 37354-5148
(423) 351-1526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN5012597
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN5012597
LICENSE NUMBER
TN
Enumeration date
06/14/2007
Last updated
06/15/2009
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