Individual
MRS. ALLISON MARY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2701 OSLER DR STE 2, GRAND PRAIRIE, TX 75051-8386
(972) 639-3992
Mailing address
438 WHISPERING WILLOW DR, MIDLOTHIAN, TX 76065-2263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
229054-30
WI
163W00000X
Registered Nurse
9469640
FL
163W00000X
Registered Nurse
979167
TX
363LF0000X
Family Nurse Practitioner
Primary
143842
TX
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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