Individual
CORBAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
213 FIRST ST S, WIGGINS, MS 39577-2735
(601) 385-0928
(601) 385-0929
Mailing address
213 FIRST ST S, WIGGINS, MS 39577-2735
(601) 385-0928
(601) 385-0929
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
907860
MS
Other
Enumeration date
11/06/2025
Last updated
04/28/2026
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