Individual
MRS. KLANCIE ALLISON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1233 STEELE RD, STARKVILLE, MS 39759-4723
(662) 617-4894
Mailing address
1233 STEELE RD, STARKVILLE, MS 39759-4723
(662) 617-4894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903110
MS
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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