Individual
LESLIE NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
101 LENA DR, ROGERSVILLE, TN 37857-2951
(423) 272-9239
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DRIVE, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
76517
TN
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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