Individual
MIRANDA ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6671
Mailing address
325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6056
(423) 433-6050
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
41151
TN
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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