Individual
DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
19186 MS HIGHWAY 17, COILA, MS 38923-9691
(662) 897-8633
Mailing address
19186 MS HIGHWAY 17, COILA, MS 38923-9691
(662) 897-8633
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
918871
MS
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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