Individual
MRS. ANNA KAYE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1000
Mailing address
212 COUNTY ROAD 544, RIENZI, MS 38865-9580
(662) 808-0327
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R888533
MS
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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