Individual
SHEENA RENELL SMITH SMOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
Mailing address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 352-4882
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
902180
MS
363LF0000X
Family Nurse Practitioner
Primary
902180
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02872582
—
MS
Enumeration date
09/05/2017
Last updated
07/28/2025
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