Individual
MRS. SHERRY DAUGHETY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
313 AIRPORT RD, KINSTON, NC 28504-8209
(252) 559-2200
(252) 522-9778
Mailing address
701 DOCTORS DR, SUITE N, KINSTON, NC 28501-1589
(252) 559-2200
(252) 522-9778
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004529
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0326
GROUP PTAN
NC
01
—
1467405431
GROUP NPI
NC
01
—
5908296
GROUP MEDICAID
NC
05
—
7000725
—
NC
01
—
89019860
GROUP MEDICAID
NC
Enumeration date
09/15/2009
Last updated
01/10/2022
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