Individual
MRS. KATHERINE CHAFFIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
101 RICKY D BRITT SR BLVD, OXFORD, MS 38655-9103
(662) 236-5442
(662) 236-5295
Mailing address
122 AIRWAYS PL, SOUTHAVEN, MS 38671-5872
(662) 349-9990
(662) 349-2620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R858087
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06230207
—
MS
Enumeration date
10/03/2006
Last updated
05/13/2015
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