Provider Demographics
NPI:1205609690
Name:SMITH, MARZENA (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MARZENA
Middle Name:
Last Name: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 1:617 URLACHER DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-8999
Mailing Address - Country:US
Mailing Address - Phone:615-866-8331
Mailing Address - Fax:
Practice Address - Street 1:250 STATE ST
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2082
Practice Address - Country:US
Practice Address - Phone:615-879-3582
Practice Address - Fax:615-827-0273
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNF11230083363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily