Provider Demographics
NPI:1376991463
Name:SMITH, HELEN ROBIN (MSN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:ROBIN
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 ADDINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-0009
Mailing Address - Country:US
Mailing Address - Phone:772-834-1614
Mailing Address - Fax:
Practice Address - Street 1:345 COURTHOUSE DR
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904
Practice Address - Country:US
Practice Address - Phone:828-389-8052
Practice Address - Fax:828-389-9066
Is Sole Proprietor?:No
Enumeration Date:2016-05-30
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009693363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC19TN2OtherBCBS