Individual
TERRI LYNN SMITHWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
255 S MEMPHIS ST, HOLLY SPRINGS, MS 38635-3222
(662) 252-4490
Mailing address
255 S MEMPHIS ST, HOLLY SPRINGS, MS 38635-3222
(662) 252-4490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R868301
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770264
—
MS
Enumeration date
05/17/2007
Last updated
07/09/2007
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