Individual
DEBORAH J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BC, MSN
Contact information
Practice address
201 N EUGENE ST, GREENSBORO, NC 27401-2221
(336) 641-3630
(336) 641-7761
Mailing address
1909 DELLWOOD DR, GREENSBORO, NC 27408-6201
(336) 641-3630
(336) 641-7761
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
64155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64155
LICENSE
NC
Enumeration date
10/28/2011
Last updated
10/28/2011
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