Individual
MS. ADRIENNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, WHNP-BC
Contact information
Practice address
520 E VINE ST UNIT 2443, KELLER, TX 76244-3902
(254) 640-9118
Mailing address
4450 DAPPLE DR APT 1221, FORT WORTH, TX 76244-9002
(254) 640-9118
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1011778
TX
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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