Individual
LAURA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
2120 EXETER RD STE 250, GERMANTOWN, TN 38138-3931
(901) 767-5864
(901) 767-6591
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
31383
TN
363LA2100X
Acute Care Nurse Practitioner
905198
MS
Other
Enumeration date
03/01/2022
Last updated
06/06/2022
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