Individual
KRISTI LYNELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
297 GOLDEN PINE RD, PRENTISS, MS 39474-4177
(769) 279-8834
Mailing address
297 GOLDEN PINE RD, PRENTISS, MS 39474-4177
(769) 279-8834
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
340284
MS
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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