Individual
MR. JOSHUA DALE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
430 W RAVINE RD, KINGSPORT, TN 37660-3868
(423) 245-3161
(423) 857-8129
Mailing address
430 W RAVINE RD, KINGSPORT, TN 37660-3868
(423) 245-3161
(423) 857-8129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20838
TN
Other
Enumeration date
02/16/2016
Last updated
03/31/2020
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