Individual
NAKISSIA S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
9208
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
9208
MN
Other
Enumeration date
08/02/2022
Last updated
09/28/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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