Individual
BARBARA JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 885-7633
Mailing address
1108 TARRYTOWN LN, WEST COLUMBIA, SC 29170-3525
(803) 794-5535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
922
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54-00274
SC CONTROL SUBSTANCE
SC
01
—
APN 922
STATE NURSING LICENSE
SC
01
—
F922
PRESCRIPTIVE AUTHORITY
SC
05
—
NP0600
—
SC
Enumeration date
09/01/2006
Last updated
03/07/2023
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