Individual
HEATHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7460 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1760
(901) 763-0200
(901) 761-4002
Mailing address
P O BOX 1000, DEPT 960, MEMPHIS, TN 38148
(901) 763-0200
(901) 761-4002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15872
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN0000015872
APN LICENSE
UT
01
—
R886682
RN LICENSE
TN
Enumeration date
09/08/2011
Last updated
11/28/2016
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