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Individual

ANGEL MICHELLE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
101 INDIAN CENTER CT STE 1, KINGSPORT, TN 37660-4690
(423) 343-9156
(423) 343-9276
Mailing address
101 INDIAN CENTER CT STE 1, KINGSPORT, TN 37660-4690
(423) 343-9156

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024179738
VA

Other

Enumeration date
04/04/2019
Last updated
09/30/2025
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