Individual
KRISTIE GAIL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 543-2584
(423) 722-2060
Mailing address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 543-2584
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25559
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q068310
—
TN
Enumeration date
11/18/2019
Last updated
11/11/2021
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