Individual
TINA M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
430 EMERY DR STE 200, HOOVER, AL 35244-4595
(205) 855-0357
Mailing address
430 EMERY DR STE 200, HOOVER, AL 35244-4595
(205) 855-0357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-110452
AL
363LF0000X
Family Nurse Practitioner
Primary
1-110452
AL
Other
Enumeration date
03/26/2019
Last updated
07/26/2021
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