Individual
EBONY MICHAELA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
61 BROADWAY, STE 1313, NEW YORK, NY 10006-2754
(914) 919-9200
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
18029
TN
363LW0102X
Women's Health Nurse Practitioner
905954
MS
Other
Enumeration date
10/25/2013
Last updated
11/26/2024
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