Provider Demographics
NPI:1790814457
Name:SMITH, REE RENE (APN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:REE
Middle Name:RENE
Last Name:SMITH
Suffix:
Gender:F
Credentials:APN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 EAST COMMERCIAL AVENUE
Mailing Address - Street 2:PO BOX 127
Mailing Address - City:MONTEREY
Mailing Address - State:TN
Mailing Address - Zip Code:38574-0924
Mailing Address - Country:US
Mailing Address - Phone:931-229-0552
Mailing Address - Fax:931-754-1180
Practice Address - Street 1:1021 EAST COMMERCIAL AVENUE
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:TN
Practice Address - Zip Code:38574
Practice Address - Country:US
Practice Address - Phone:931-229-0552
Practice Address - Fax:931-754-1180
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18034363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily