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Individual

TEQUITA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1033 R B REEVES RD, MAGNOLIA, MS 39652-9614
(601) 996-9949
Mailing address
1033 R B REEVES RD, MAGNOLIA, MS 39652-9614

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
908381
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SMIT-HBBMBV
MS

Other

Enumeration date
03/21/2026
Last updated
04/24/2026
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