Individual
CHEVONNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN-CNP, CCRN
Contact information
Practice address
3094 W MARKET ST STE 240, FAIRLAWN, OH 44333-3624
(234) 201-7811
Mailing address
3094 W MARKET ST STE 240, FAIRLAWN, OH 44333-3624
(234) 201-7811
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN350294
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.025388
OH
Other
Enumeration date
12/17/2013
Last updated
10/31/2022
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