Individual
MS. DONNA J. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2012 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804-5285
(865) 981-8838
(865) 380-8868
Mailing address
2012 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804-5285
(865) 981-8838
(865) 380-8868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN11729
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4122939
BCBS OF TENNESSEE
TN
01
—
P00344560
RAILROAD MEDICARE
TN
Enumeration date
06/08/2006
Last updated
01/10/2013
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