Individual
HEIDI M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2550 FAYETTEVILLE RD, LUMBERTON, NC 28358-3114
(910) 536-1689
(910) 536-1480
Mailing address
2550 FAYETTEVILLE RD, LUMBERTON, NC 28358-3114
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
251548
NC
363LG0600X
Gerontology Nurse Practitioner
251548
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5008350
NC
363LP2300X
Primary Care Nurse Practitioner
5008350
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629456330
—
NC
01
—
19HKU
BCBSNC
NC
01
—
NCR588ABCD
MEDICARE
NC
Enumeration date
05/13/2015
Last updated
03/24/2025
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