Individual
SUSAN DARLENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
101 RICKY D BRITT SR BLVD, SUITE 1 AND 2, OXFORD, MS 38655-9103
(662) 236-5442
(662) 236-5295
Mailing address
101 RICKY D BRITT SR BLVD, SUITE 1 AND 2, OXFORD, MS 38655-9103
(662) 236-5442
(662) 236-5295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901892
MS
Other
Enumeration date
01/03/2017
Last updated
01/23/2017
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