Individual
TAMMY R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
211 SUNSET DR, BECKLEY, WV 25801-2825
(304) 469-2905
(304) 465-5486
Mailing address
497 MALL RD, OAK HILL, WV 25901-6216
(304) 469-2905
(304) 465-1518
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56022
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000221
—
WV
Enumeration date
09/09/2005
Last updated
03/19/2026
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