Individual
ELIZABETH A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
121 BOONE RIDGE DR STE 1004, JOHNSON CITY, TN 37615-4993
(423) 794-5988
(423) 794-5988
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 794-5988
(423) 232-8583
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
131283
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341194
—
TN
Enumeration date
04/06/2007
Last updated
08/19/2025
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