Individual
TINA M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2014 TOWER DR STE A, MONROE, LA 71201-5194
(318) 325-1731
(318) 325-5636
Mailing address
2014 TOWER DR STE A, MONROE, LA 71201-5194
(318) 325-1731
(318) 325-5636
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP03251
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557803
—
LA
Enumeration date
04/10/2006
Last updated
09/05/2023
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