Individual
DONNA CAROL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-BC
Contact information
Practice address
2000 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 686-3508
(757) 686-0541
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3516
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170844
VA
363LF0000X
Family Nurse Practitioner
363763
NY
Other
Enumeration date
06/08/2011
Last updated
11/25/2014
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