Individual
CARISSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1025 MONARCH ST STE 180, LEXINGTON, KY 40513-1931
(859) 295-6431
Mailing address
1025 MONARCH ST STE 180, LEXINGTON, KY 40513-1931
(859) 295-6431
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4030971
KY
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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