Provider Demographics
NPI:1003839382
Name:SMITH, CHRISTINA M (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:SMITH
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1225 E WEISGARBER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2604
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:103 MIDLAKE DR.
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918
Practice Address - Country:US
Practice Address - Phone:865-687-1973
Practice Address - Fax:865-689-3445
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2011-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNAPRN 8215 RN 131913363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1509065Medicaid
TN1509065Medicaid
TN39086962Medicare PIN