Individual
MS. TABITHA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
222 MAIN ST W, RIPLEY, WV 25271-1432
(304) 372-9679
(304) 373-0117
Mailing address
222 MAIN ST W, RIPLEY, WV 25271-1432
(304) 372-9679
(304) 373-0117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN64058-NP-C
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.024594
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN64058-NP-C
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378928
—
OH
05
—
1174021406
—
WV
Enumeration date
05/15/2018
Last updated
04/24/2026
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