Individual
MRS. JOYCE VICTORIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6110 SHALLOWFORD RD STE B, CHATTANOOGA, TN 37421-1894
(423) 499-1031
(423) 296-6384
Mailing address
207 MELODY LN, RINGGOLD, GA 30736-5019
(423) 453-0193
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN69963
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164X00000X
—
TN
Enumeration date
08/23/2018
Last updated
08/23/2018
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