Individual
MRS. ALISHA PHILLIPS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2504 RIDGE RD STE 102, ROCKWALL, TX 75087-2570
(972) 771-1794
Mailing address
2504 RIDGE RD STE 102, ROCKWALL, TX 75087-2570
(972) 771-1794
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
693621
TX
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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