Individual
MONA DENNISON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1433
(912) 871-2261
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN239737
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN239737
GA
363LA2200X
Adult Health Nurse Practitioner
RN239737
GA
Other
Enumeration date
03/28/2017
Last updated
02/16/2026
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