Individual
SHARON W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 SPRUCE LN, ELIZABETHTON, TN 37643-4301
(423) 543-3202
(423) 543-6249
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7366
(502) 568-7114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18097
TN
363LF0000X
Family Nurse Practitioner
0024170461
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q000321
—
TN
Enumeration date
10/30/2012
Last updated
05/18/2015
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