Provider Demographics
NPI:1598472250
Name:LETCHER-SMITH, ADRIENNE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:LETCHER-SMITH
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 KY HIGHWAY 36 E STE G3
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-7492
Mailing Address - Country:US
Mailing Address - Phone:859-289-6311
Mailing Address - Fax:859-289-3366
Practice Address - Street 1:254 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:KY
Practice Address - Zip Code:40311-1156
Practice Address - Country:US
Practice Address - Phone:859-289-6311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3018269363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily