Individual
CYNTHIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5681 HIGHWAY 363, MANTACHIE, MS 38855-7632
(662) 282-4226
(662) 282-7946
Mailing address
115 DRIVE 1341, MOOREVILLE, MS 38857-7426
(662) 523-5875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903494
MS
Other
Enumeration date
09/30/2019
Last updated
10/31/2025
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