Provider Demographics
NPI:1649797937
Name:SMITH, TERRI RENEE (FNP)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:RENEE
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:271 BUD HUTCHESON RD
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31535-2335
Mailing Address - Country:US
Mailing Address - Phone:912-381-0298
Mailing Address - Fax:877-319-4345
Practice Address - Street 1:201 JORDAN RD STE 200
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4495
Practice Address - Country:US
Practice Address - Phone:912-381-0298
Practice Address - Fax:877-319-4345
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN170070363LF0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse