Individual
MRS. MONIQUE LYNNETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8901 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9116
(843) 203-2245
(843) 203-2244
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20114
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4284
—
SC
Enumeration date
10/05/2016
Last updated
08/20/2021
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