Individual
MS. MARCIE SMITH-CORLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
12221 MERIT DR STE 450, DALLAS, TX 75251-2294
(972) 770-1032
(469) 484-2126
Mailing address
12221 MERIT DR STE 450, DALLAS, TX 75251-2294
(972) 770-1032
(469) 484-2126
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP141979
TX
Other
Enumeration date
08/14/2019
Last updated
11/16/2020
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