Individual
LISA ANJONETTE SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
542 UPTOWN SQ, MURFREESBORO, TN 37129-0589
(615) 310-1491
Mailing address
3222 CARLYLE CT, MURFREESBORO, TN 37130-1372
(615) 310-1491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13419
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509897
—
TN
Enumeration date
04/22/2008
Last updated
02/02/2016
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