Individual
SONJA JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4000 COLISEUM DR STE 280, HAMPTON, VA 23666-5974
(757) 827-2455
(757) 452-5773
Mailing address
4000 COLISEUM DR STE 280, HAMPTON, VA 23666-5974
(757) 827-2455
(757) 452-5773
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
CNM0781
NC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0024173206
VA
367A00000X
Advanced Practice Midwife
Primary
0024173206
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000004517
TRICARE
NC
Enumeration date
01/04/2012
Last updated
01/15/2024
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