Provider Demographics
NPI:1336400985
Name:SMITH, BILLIE DENISE (ACNP)
Entity Type:Individual
Prefix:MRS
First Name:BILLIE
Middle Name:DENISE
Last Name:SMITH
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:620 JOHN PAUL JONES CIR
Mailing Address - Street 2:CRITICAL CARE DEPARTMENT
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708-2111
Mailing Address - Country:US
Mailing Address - Phone:757-953-3420
Mailing Address - Fax:757-953-0276
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:CRITICAL CARE DEPARTMENT
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-3420
Practice Address - Fax:757-953-0276
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRN 2927542363LA2100X, 364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care