Individual
MRS. DENENE P. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
923 W 3RD ST, PEMBROKE, NC 28372-9628
(910) 775-9027
(910) 521-8091
Mailing address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 272-3048
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004147
—
NC
Enumeration date
11/28/2006
Last updated
11/02/2020
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