Brenda Smith
Registered Nurse in Snellville, GA. Individual provider (NPI-1).
NPI number1962940692
StatusActive
Last updated in NPPESFeb 1, 2017
Details
- NPI
- 1962940692
- Entity type
- Individual (NPI-1)
- Name
- Brenda Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2017
- Last updated
- Feb 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN071509 | GA | Yes |
| 163WA2000X | Registered Nurse, Administrator | NHA005147 | GA | |
| 163WC1500X | Registered Nurse, Community Health | RN071509 | GA | |
| 163WG0600X | Registered Nurse, Gerontology | RN071509 | GA | |
| 163WH0200X | Registered Nurse, Home Health | RN071509 | GA | |
| 163WM0705X | Registered Nurse, Medical-Surgical | RN071509 | GA |
Practice location
4841 Lenora Church RdSnellville, GA 30039-7707
Phone 404-510-3888 · Fax 770-679-9494
Mailing address
4841 Lenora Church RdSnellville, GA 30039-7707
Phone 404-510-3888 · Fax 770-679-9494
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