Provider Demographics
NPI:1891308938
Name:SMITH, LAUREN ASHLEIGH (FNP-BC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ASHLEIGH
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ASHLEIGH
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2156 HIGHWAY 52 EAST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124
Mailing Address - Country:US
Mailing Address - Phone:205-920-1211
Mailing Address - Fax:
Practice Address - Street 1:2156 HIGHWAY 52 EAST
Practice Address - Street 2:SUITE 150
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124
Practice Address - Country:US
Practice Address - Phone:205-920-1211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-145951363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily