Individual
MELISSA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
136 DAVIS LN, LA FOLLETTE, TN 37766-3118
(423) 562-0760
(423) 566-8004
Mailing address
136 DAVIS LN, LA FOLLETTE, TN 37766-3118
(423) 562-0760
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN13598
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q019203
—
TN
Enumeration date
09/08/2008
Last updated
09/09/2022
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