Individual
MRS. KEMBERLY JEAN HARRISON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
675 HAMILTON ST, SPARTA, GA 31087-1837
(478) 864-3448
(478) 864-1288
Mailing address
P O BOX 371, WRIGHTSVILLE, GA 31096-2017
(478) 864-3448
(478) 864-1288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN081204
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0713377
NURSE PRACTIONER LICENSE
GA
01
—
RN081204
GEORGIA LICENSE
GA
Enumeration date
08/15/2013
Last updated
09/02/2015
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