Individual
MS. JOYA MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD FL 1, TAMPA, FL 33607-6307
(813) 870-4619
(813) 554-8496
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP137619
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11003542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104711100
—
FL
Enumeration date
06/05/2018
Last updated
11/27/2019
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