Individual
MRS. SUE M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.R.N.C.,CNS
Contact information
Practice address
8402 BLACKJACK ROAD EXT, MOUNT VERNON, OH 43050-9193
(740) 397-0442
(740) 788-3424
Mailing address
PO BOX 4670, NEWARK, OH 43058-4670
(740) 522-8477
(740) 788-3424
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN-191200
OH
Other
Enumeration date
06/08/2006
Last updated
04/22/2011
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