Provider Demographics
NPI:1346901188
Name:SMB NURSING CONCIERGE LLC
Entity Type:Organization
Organization Name:SMB NURSING CONCIERGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MADISON-BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP MSN RN-BC
Authorized Official - Phone:205-863-8584
Mailing Address - Street 1:1003 WORTH CT
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-2263
Mailing Address - Country:US
Mailing Address - Phone:205-863-8584
Mailing Address - Fax:541-717-8170
Practice Address - Street 1:1003 WORTH CT
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30296-2263
Practice Address - Country:US
Practice Address - Phone:205-863-8584
Practice Address - Fax:541-717-8170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty
No163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Single Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty