Individual
STEPHANIE K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1787 VETERANS BLVD, SEVIERVILLE, TN 37862-6945
(865) 255-7543
(865) 428-4767
Mailing address
2808 SAGEGRASS DR, LOUISVILLE, TN 37777-3564
(865) 292-5953
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
30013
TN
363LF0000X
Family Nurse Practitioner
30013
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q069651
—
TN
Enumeration date
07/28/2021
Last updated
11/11/2023
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