Individual
MALLORY LYNNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3900 KRESGE WAY STE 42, LOUISVILLE, KY 40207-4681
(502) 899-3858
(502) 899-3878
Mailing address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4018626
KY
363LA2200X
Adult Health Nurse Practitioner
AP140939
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
95014580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100983120
—
KY
Enumeration date
03/08/2019
Last updated
09/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us