Individual
MRS. LASASSHA ALEXANDRIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
223275
SC
163W00000X
Registered Nurse
285857
GA
363L00000X
Nurse Practitioner
285857
GA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN285857
GA
Other
Enumeration date
05/01/2018
Last updated
08/06/2024
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