Provider Demographics
NPI:1952652844
Name:SMITH, ABBIE LEANNE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ABBIE
Middle Name:LEANNE
Last Name:SMITH
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:2292 DALTON DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-8946
Mailing Address - Country:US
Mailing Address - Phone:931-572-0086
Mailing Address - Fax:931-572-1078
Practice Address - Street 1:720 2ND AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-1778
Practice Address - Country:US
Practice Address - Phone:270-495-1200
Practice Address - Fax:270-495-1241
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2021-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN18560207V00000X, 363LW0102X
IN28204840A363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology