Brandy G Smith, FNP-BC
Nurse Practitioner, Family in Greenwood, MS. Individual provider (NPI-1).
NPI number1124257902
StatusActive
Last updated in NPPESApr 23, 2010
Details
- NPI
- 1124257902
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Brandy G Smith
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2009
- Last updated
- Apr 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R859059 | MS | Yes |
Practice location
2901 Highway 82 EGreenwood, MS 38930-2960
Phone 662-374-2185 · Fax 662-374-2195
Mailing address
27627 Highway 442Schlater, MS 38952-3221
Phone 662-299-5208
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