Individual
MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8402 BLACKJACK RD, MOUNT VERNON, OH 43050-9193
(740) 522-8477
(740) 397-1582
Mailing address
65 MESSIMER DR, NEWARK, OH 43055-1874
(740) 522-8477
(740) 788-3424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
164W00000X
Licensed Practical Nurse
Primary
LPN.153924.MEDS-IV
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0041296
OH
Other
Enumeration date
01/28/2009
Last updated
05/03/2026
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