Provider Demographics
NPI:1467178830
Name:SMITH, J RUTH (DNP, FNP-BC, RN)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:RUTH
Last Name:SMITH
Suffix:
Gender:F
Credentials:DNP, FNP-BC, RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22917 NC HIGHWAY 8
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27239-8176
Mailing Address - Country:US
Mailing Address - Phone:704-425-8352
Mailing Address - Fax:
Practice Address - Street 1:18539 S NC HIGHWAY 109
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:NC
Practice Address - Zip Code:27239-7713
Practice Address - Country:US
Practice Address - Phone:336-859-5001
Practice Address - Fax:336-859-1952
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5017011363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care