Individual
JULIE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,ACNP, BC
Contact information
Practice address
1056 E RAINES RD, MEMPHIS, TN 38116-6337
(901) 300-5777
(901) 422-6092
Mailing address
1056 E RAINES RD, MEMPHIS, TN 38116-6337
(901) 300-5777
(901) 422-6092
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN0000080499
TN
363LA2100X
Acute Care Nurse Practitioner
810295
MS
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000010879
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515130
—
TN
Enumeration date
03/12/2007
Last updated
12/19/2022
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