Individual
EBONEE SHYNICE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4208 VAN DYKE DR, KNOXVILLE, TN 37919-3151
(865) 314-2353
Mailing address
4208 VAN DYKE DR, KNOXVILLE, TN 37919-3151
(865) 314-2353
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
100122
TN
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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