Individual
MRS. NINA WILSON SMELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 344-9630
Mailing address
11532 SEDONA DR, DAPHNE, AL 36526-5675
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-146573
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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