Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3631 BIENVILLE BLVD STE A, OCEAN SPRINGS, MS 39564-5702
(228) 818-0585
Mailing address
5504 EVERGREEN ST, PASCAGOULA, MS 39567-1034
(228) 990-8907
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
904065
MS
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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