Individual
LACY BRASIER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1542
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
902755
MS
Other
Enumeration date
06/29/2018
Last updated
05/13/2025
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