Individual
AALIYAH SAMONE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 N MCLEAN BLVD, MEMPHIS, TN 38104-2693
(731) 394-1145
Mailing address
383 BRIARWOOD RD LOT 9, MERIDIAN, MS 39305-9649
(601) 604-9092
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
905072
MS
363LA2100X
Acute Care Nurse Practitioner
Primary
31837
TN
Other
Enumeration date
01/07/2022
Last updated
03/25/2024
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