Individual
CATHERINE RUTH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
7362 SOUTHCREST PKWY, SOUTHAVEN, MS 38671
(901) 271-1000
(901) 271-4187
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22821
TN
363LF0000X
Family Nurse Practitioner
22821
TN
363LF0000X
Family Nurse Practitioner
Primary
903323
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-1157530
—
TN
Enumeration date
07/29/2017
Last updated
03/07/2023
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