Individual
MICHAEL P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(901) 226-4003
(901) 227-8591
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.0037024
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
907809
MS
363LF0000X
Family Nurse Practitioner
11012101
FL
Other
Enumeration date
06/07/2021
Last updated
10/29/2025
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