Individual
MR. WILLIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
751 LOMBARDI CT, SANTA ROSA, CA 95407-6798
(707) 303-6000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
P1701203
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28278
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017534
CA
Other
Enumeration date
01/29/2015
Last updated
02/02/2024
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