Individual
REGINA CHRISTY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6266 POPLAR AVE, MEMPHIS, TN 38119-4713
(901) 682-2595
(901) 682-2549
Mailing address
6266 POPLAR AVE, MEMPHIS, TN 38119-4713
(901) 682-2595
(901) 682-2549
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
11744
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03989793
—
MS
05
—
1525669
—
TN
Enumeration date
01/22/2007
Last updated
12/31/2012
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