Individual
NANCY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4485 W STONE DR, SUITE 200, KINGSPORT, TN 37660-1050
(423) 224-3150
(423) 224-3169
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024169265
VA
363L00000X
Nurse Practitioner
Primary
15698
TN
364SX0200X
Oncology Clinical Nurse Specialist
0024169265
VA
364SX0200X
Oncology Clinical Nurse Specialist
15698
TN
Other
Enumeration date
03/07/2011
Last updated
04/27/2015
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