Individual
BRADEN REID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
2863 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 422-0213
(731) 660-2456
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 425-5783
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
231716
TN
363L00000X
Nurse Practitioner
Primary
33277
TN
Other
Enumeration date
01/24/2023
Last updated
01/30/2023
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