Individual
NICOLE RANAE ADRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
550 S JACKSON ST FL CLINIC2, LOUISVILLE, KY 40202-1622
(502) 588-4710
(502) 588-4771
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4710
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3018513
KY
Other
Enumeration date
10/18/2022
Last updated
08/18/2025
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