Individual
MS. BLAKELEE PAIGE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGPCNP-BC
Contact information
Practice address
315 N WASHINGTON AVE STE 265, COOKEVILLE, TN 38501-2697
(931) 260-0327
(931) 901-1303
Mailing address
315 N WASHINGTON AVE STE 265, COOKEVILLE, TN 38501-2697
(931) 260-0327
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236809
TN
363L00000X
Nurse Practitioner
Primary
33231
TN
Other
Enumeration date
12/26/2022
Last updated
12/15/2023
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