Individual
LISA KATHRYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 335-8448
Mailing address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 335-8448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-268083
NC
363LF0000X
Family Nurse Practitioner
Primary
5013879
NC
Other
Enumeration date
03/03/2020
Last updated
08/06/2025
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