Individual
LYNKA VANESSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
4414 IRON CREEK CT, FRESNO, TX 77545-6044
(832) 763-5843
Mailing address
4414 IRON CREEK CT, FRESNO, TX 77545-6044
(832) 763-5843
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP136817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP136817
APRN
TX
Enumeration date
02/28/2018
Last updated
10/05/2022
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