Individual
DEVON ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2555 COURT DR STE 450, GASTONIA, NC 28054-2191
(704) 671-7652
(704) 671-7656
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
291701
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730534348
—
NC
01
—
19P32
BCBS
NC
05
—
NP3913
—
SC
Enumeration date
05/02/2016
Last updated
10/03/2019
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