Individual
ELIZABETH NADRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1240 EAGLES LANDING PKWY STE 110, STOCKBRIDGE, GA 30281-5173
(770) 389-3855
Mailing address
3333 RIVERWOOD PKWY SE STE 250, ATLANTA, GA 30339-3304
(770) 914-0116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN085855
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F05210353
AMERICAN ACADEMY OF NURSE PRACTITIONERS NATIONAL CERTIFICATION BOARD
—
01
—
RN085855
STATE BOARD OF NURSING
GA
Enumeration date
05/25/2022
Last updated
10/01/2024
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