Individual
MS. CARISSA SHANAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
804 ENGLISH RD STE 100, ROCKY MOUNT, NC 27804-6027
(252) 443-3133
(252) 443-6726
Mailing address
804 ENGLISH RD STE 100, ROCKY MOUNT, NC 27804-6027
(252) 443-3133
(252) 443-6726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013384
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206123
RN LICENSE
NC
01
—
5013384
NP LICENSE
NC
Enumeration date
08/02/2020
Last updated
03/30/2026
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