Individual provider · NPI-1

Baley Smith, FNP

Nurse Practitioner, Primary Care · Bay Springs, MS

NPI number1952009805
StatusActive
Last updated in NPPESFeb 20, 2023

Details

NPI
1952009805
Entity type
Individual (NPI-1)
Name
Baley Smith
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2023
Certification date
Feb 10, 2023
Last updated
Feb 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Caresmit-43rz4tMSYes

Practice location

20 S Sixth St
Bay Springs, MS 39422-9055

Phone 601-764-4501

Mailing address

1416 Highway 513
Quitman, MS 39355-8810

Phone 601-616-3919

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