Individual
MARY ANNETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 507-1212
Mailing address
313 SHARONDALE DR, TULLAHOMA, TN 37388-2849
(931) 308-1463
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24066
TN
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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