Provider Demographics
NPI:1922245141
Name:SMITH, NANCY RENEE (NP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:RENEE
Last Name:SMITH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2237 LOWES DR W STE A
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-6891
Mailing Address - Country:US
Mailing Address - Phone:931-272-2446
Mailing Address - Fax:855-530-6144
Practice Address - Street 1:2237 LOWES DR W STE A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-6891
Practice Address - Country:US
Practice Address - Phone:931-272-2446
Practice Address - Fax:855-530-6144
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-09
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3015255363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily