Individual
MRS. KANITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1201 ARISTA DR STE 105, ROCKWALL, TX 75032-6860
(469) 757-8149
(888) 927-0535
Mailing address
1201 ARISTA DR STE 105, ROCKWALL, TX 75032-6860
(469) 757-8149
(888) 927-0535
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP143454
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP143454
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP143454
TX
Other
Enumeration date
10/12/2019
Last updated
06/01/2026
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